| NPI | 1760844153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MINELLI Delegated Official 570-341-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |