| NPI | 1750147666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE SUSAN TRIANO SINN Executive Director 570-728-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |