NPI | 1720573918 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA FRANCIS ADORNATO CEO 570-853-3135 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
261QR1300X Clinic/Center Rural Health | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2023-04-05 |