| NPI | 1710103254 |
|---|---|
| Former Legal Business Name | GOOD SHEPHERD YOUTH AND FAMILY SERVICES OF NEPA |
| Entity Type | Organization |
| Authorized Contact | SAL SANTOLI COO 570-348-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 000204170) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: PA 000204170) |
| 261Q00000X Clinic/Center (Licence: PA 000204170) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 000204170) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 000204170) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-06-06 |