| NPI | 1508290636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WARREN-PACE CFO 570-689-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 647020) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |