| NPI | 1588299168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL CONABOY CEO/Project Director 570-814-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |