is a Adult Mental Health in Nanticoke, Pennsylvania. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for is 1437316338. The last update date is .
's current location address is 130 W Washington St, Nanticoke, Pennsylvania. You can contact this provider via phone number 5707357590. The mailing address for is 130 W Washington St, Nanticoke, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 130 W Washington St, Nanticoke, Pennsylvania |
Phone Number | 5707357590 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1437316338 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 130 W Washington St |
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City | Nanticoke |
State | Pennsylvania (PA) |
Post Code | 186343113 |
Phone Number | 5707357590 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adult Mental Health |
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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 |
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1007615710027 | PA | -- |
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