| NPI | 1366071631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SOKOLA CAO 570-271-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-05-27 |