| NPI | 1972958544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE S RINISH Project Director 570-982-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |