| NPI | 1851442586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E BAKES Deputy Director 570-348-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-01-11 |