| NPI | 1679931786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MANN Agency Supervisor/Owner 570-656-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 235Z00000X Speech-Language Pathologist, | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |