| NPI | 1346461381 |
|---|---|
| Doing Business As | LAUREL BEHAVIORAL HEALTH OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | RONALD MERYL GILBERT CFO 570-662-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-12-06 |