NPI | 1750597753 |
---|---|
Other Name | OP MH CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES L. BOBECK Chief Executive Officer 570-829-3477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 202940) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-12-14 |