| NPI | 1669350070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAMOS Owner 570-856-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |