| NPI | 1942400510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CLIFFORD Director Of Finance 570-253-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |