| NPI | 1295702694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J KELLEHER Executive Director 570-524-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: PA 305760) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 308060) |
| 251S00000X Community/Behavioral Health (Licence: PA 305760) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2008-11-05 |