| NPI | 1568635316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JONES Vice President 570-825-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |