| NPI | 1437377553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA THEODOROU Administrator 570-420-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-04-08 |