| NPI | 1639560550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |