| NPI | 1801271010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CICCHIELLO Executive Director 570-875-8058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: PA SP009838) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA TP006931C) |
| 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: PA TP006931C) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |