| NPI | 1801995832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEENA BERNIQUE LEE Executive Director 570-322-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 417015) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-10-27 |