Organization Name: | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
NPI Number: | 1083889042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN E FISHER (VICE PRESIDENT AND COO) |
Mailing Address: | 32-36 Central Ave Wellsboro |
State: | PA US |
Postal Code: | 169011840 |
Phone Number: | 5707230549 |
Fax Number: | 5707235072 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 200670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |