| NPI | 1629284393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A BEVANS Business Manager 570-275-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-01-04 |