| NPI | 1689131997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY DAVITT Accounts Receivable Coordinator 570-702-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-02-07 |