| NPI | 1962530915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TAPSCOTT VP 570-214-7993 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 273R00000X Psychiatric Unit | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-03-18 |