| NPI | 1285852400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED ABDO Executive Director 570-735-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 1007615710040) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |