| NPI | 1417054206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIKANT V DESAI CEO 570-454-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD036585L) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |