| NPI | 1871729111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J ANDREWS Board President 570-331-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 11911500) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2023-05-23 |