| NPI | 1982957650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BOBECK President/Chief Executive Officer 570-829-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 218960) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |