| NPI | 1730914128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D JOSEPH Psychiatric Mental Health Np 570-872-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |