| NPI | 1932785102 |
|---|---|
| Doing Business As | NORTHEAST HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RICHARD PARA AO 570-330-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-04-28 |