| NPI | 1801012349 |
|---|---|
| Former Legal Business Name | LOURDESMONT GOOD SHEPHERD |
| Entity Type | Organization |
| Authorized Contact | SAL SANTOLI COO 570-348-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-05-08 |