Organization Name: | SALESIAN MONASTIC COMMUNITY |
NPI Number: | 1396051017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERNARD SEIF (ABBOT PRESIDENT) |
Mailing Address: | Hc 1 Box 455 Frantz Road Brodheadsville |
State: | PA US |
Postal Code: | 183229630 |
Phone Number: | 5709923448 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS005430L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |