| NPI | 1447729603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BREUNINGER Owner/Provider 570-575-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-08-23 |