| NPI | 1851682553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COLLEEN GILPATRICK Clinical Director 570-296-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |