| NPI | 1487014007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI RICH Director Of Bhrs 570-544-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA BH001772) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |