| NPI | 1629409578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RICCA CEO 570-270-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 23881501) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2023-05-04 |