| NPI | 1609253301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY TAKACS Member And Program Coordinator 570-604-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000285) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |