| NPI | 1497244362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK REICHENBACH Business Office Manager 570-524-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-08-16 |