NPI | 1447982137 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA MARSHALL Billing Manager 570-203-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2022-06-30 |
Last Update Date | 2022-06-30 |