| NPI | 1275739955 |
|---|---|
| Other Name | LYCOMING CLINTON MHMR PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ELLEN DIDOMENICO Human Services Director 570-323-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |