| NPI | 1801147301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY OFOEGBU Physician Assistant 570-977-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY 015809) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |