| NPI | 1902171531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE SHEAN Program Director Sbbh 570-348-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW017203) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-20 |