| NPI | 1801336458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H HOLLANDER Executive Director 570-344-3517 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2020-09-30 |