| NPI | 1770218562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SWEPSTON Executive Director 570-406-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |