| NPI | 1598805061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED ABDO Exec. Director 570-455-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 1007615710028) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 1007615710028) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 1007615710028) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |