| NPI | 1770784340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH C DAVIS Administrator 570-495-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA pending) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |