| NPI | 1295986073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L. DERR Occupational Therapy Assistant 570-320-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: PA OP006518) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |