| NPI | 1437551868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director Of Revenue Management 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PA 148901) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-07-02 |