| NPI | 1396929121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND ABDO Executive Director 570-735-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 1007615710034) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |