| NPI | 1881728194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DENAULT CEO 570-265-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 221030) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-12-16 |