| NPI | 1760837694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA CORANATA Owner 570-856-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW128351) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |