| NPI | 1790006765 |
|---|---|
| Doing Business As | CONEWAGO SNYDER |
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT DESANTO Corporate Clinical Director 570-322-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 557054) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |