| NPI | 1851344527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J KELLEHER Administrator 570-524-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 348770) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 301960) |
| 385H00000X Respite Care (Licence: PA 308000) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |