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