| NPI | 1679871271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE DWORAK Evaluator 570-362-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: PA OC003647L) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |