| NPI | 1518181700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SIMMONS VP Finance 570-825-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 1007280110024) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |