| NPI | 1649608530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN EMERSHAW Exec. Director 570-735-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 1007615710065) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 1007615710004) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 1007615710004) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 1007615710065) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 1007615710004) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 1007615710065) | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2019-08-29 |