NPI | 1467073924 |
---|---|
Former Legal Business Name | SPECTRUM HUMAN SERVICES |
Entity Type | Organization |
Authorized Contact | NATHANIEL J. WILLIAMS President/CEO 570-977-4301 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |