NPI | 1508448663 |
---|---|
Doing Business As | DESTINATION HOPE |
Entity Type | Organization |
Authorized Contact | LISA MICHELETTI Executive Director 570-332-3060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-04-27 |
Last Update Date | 2023-10-12 |