| NPI | 1548716145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCKENDRY Clinical/Executive Director 570-689-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 647021) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-02-21 |