| NPI | 1598480063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH ZABINSKI MIS Director 570-455-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |