| NPI | 1346455649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LAVELLE Administrator 570-265-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-07-21 |