| NPI | 1952392573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUMEN Supervisor Of Sport Med. Services 570-820-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA RT003614) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |