| NPI | 1518527563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE LUTON Founder/Executive Director 570-899-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |