| NPI | 1962436337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY N RINE Practice Administrator 570-524-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |