| NPI | 1295010908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KNECHT Director 570-323-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 329190) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 329190) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2023-05-31 |