| NPI | 1538618202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PHELPS Executive Director 570-278-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 667065) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |