| NPI | 1801995832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R DE SANTO Executive Director 570-322-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 417015) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |