| NPI | 1386292829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HAEFNER Director Of Finance/Treasurer 570-246-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-03-30 |