Organization Name: | COUNSELING ARTS OF MAXATAWNY LP |
NPI Number: | 1184879397 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE R. EVANS (PRESIDENT) |
Mailing Address: | 15895 Kutztown Road Mertztown |
State: | PA US |
Postal Code: | 195390039 |
Phone Number: | 6106833301 |
Fax Number: | 6106833351 |
NPI Enumeration Date: | 12/02/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 5675 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |