| NPI | 1992839492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DENAULT CEO 570-265-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 226990) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-07-21 |