| NPI | 1851526669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM SOHOSKY C.O.O. 570-628-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2019-08-28 |