| NPI | 1619103512 |
|---|---|
| Doing Business As | CHOICES PROGRAM OF WYOMING VALLEY |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 407030) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-04-26 |