is a Adult Mental Health in Hazleton, Pennsylvania. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for is 1740447648. The last update date is .
's current location address is 750 E Broad St, Hazleton, Pennsylvania. You can contact this provider via phone number 5704556385. The mailing address for is 750 E Broad St, Hazleton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 750 E Broad St, Hazleton, Pennsylvania |
| Phone Number | 5704556385 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740447648 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 750 E Broad St |
|---|---|
| City | Hazleton |
| State | Pennsylvania (PA) |
| Post Code | 182016835 |
| Phone Number | 5704556385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 100761571002 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007615710021 | PA | -- |
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