| NPI | 1447463021 | 
|---|---|
| Other Name | LYCOMING-CLINTON MHMR PROGRAM | 
| Entity Type | Organization | 
| Authorized Contact | DEBORAH M DUFFY Administrator 570-326-7895 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251B00000X Case Management | 
| Enumeration Date | 2007-05-08 | 
| Last Update Date | 2014-09-12 |