| NPI | 1669656492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND ABDO Executive Director 570-735-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 1007615710022) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |