| NPI | 1720404031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BROWN Health Systems Administrator 570-523-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |