| NPI | 1417135021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P CHERRY Director 570-829-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 401110) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 667031) |
| 251S00000X Community/Behavioral Health (Licence: PA 667036) | |
| 251S00000X Community/Behavioral Health (Licence: PA 527031) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |