| NPI | 1477224285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MAGARO COO 570-547-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |