| NPI | 1770879215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-02-18 |