| NPI | 1790280725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET TOMCAVAGE Chief Population Health Officer 570-271-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 305S00000X Point of Service | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-04-24 |