| NPI | 1700124229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. BOBECK Chief Executive Officer 570-829-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 218960) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |