| NPI | 1548574692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLYN KRAVETTE Project/Facility Director 570-629-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 4776) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA SW012506L) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-07-31 |