NPI | 1922479849 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KNECHT President 570-323-7535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 332410) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2023-05-31 |