NPI | 1942428834 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAMS C. BROWN President 570-601-0877 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 227605) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |