NPI | 1790908812 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA MOWRY Assistant Project Director 570-288-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 407043) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |