| NPI | 1821469867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL SPENCER Clinical Director 570-322-7873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 331600) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |