| NPI | 1417136102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE SANTOLI Interim President/CEO 570-348-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 232500) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2021-04-23 |