| NPI | 1477689842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTOGNOLI Chief Executive Officer 570-702-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: PA 000351062) |
| Additional Taxonomies | 251S00000X (Licence: PA 000351062) |
| 261Q00000X Clinic/Center (Licence: PA 000351062) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 000351062) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 000351062) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-09-15 |