| NPI | 1700683661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Credentialing 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |