| NPI | 1518384874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN EMERSHAW Executive Director 570-735-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 1007615710048) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |