| NPI | 1699754424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SUE ROOF Project Director 570-724-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 597013) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 597013) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2025-02-27 |