| NPI | 1609199322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL KNECHT Director 570-323-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 147021) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251K00000X Public Health or Welfare (Licence: PA 147021) | |
| 251S00000X | |
| 261Q00000X Clinic/Center (Licence: PA 147021) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2023-05-31 |