in Nanticoke - Adult Mental Health

- NPI 1437316338

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
Address 130 W Washington St, Nanticoke, Pennsylvania
Phone Number 5707357590
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1437316338
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 130 W Washington St
City Nanticoke
State Pennsylvania (PA)
Post Code 186343113
Phone Number 5707357590
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
1007615710027 PA --

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