| NPI | 1760930606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA RP450670) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-02-28 |