| NPI | 1962547133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W BRODERICK Executive Director 570-346-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: PA 220430) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: PA 219600) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |