| NPI | 1982606802 |
|---|---|
| Doing Business As | SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PSYCHIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN E. SIMODEJKA President And CEO 570-621-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-07-16 |