| Organization Name: | MOSES TAYLOR HOSPITAL WORKLIFE AND COUNSELING SERVICES |
| NPI Number: | 1346440542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID JOHN BROLAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1141 Clay Ave Dunmore |
| State: | PA US |
| Postal Code: | 185101191 |
| Phone Number: | 5703402147 |
| Fax Number: | 5703402150 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CW00248L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |