Organization Name: | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
NPI Number: | 1790974822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN FISHER (VICE PRESIDENT/COO) |
Mailing Address: | 520 Ruah Street Blossburg |
State: | PA US |
Postal Code: | 16912 |
Phone Number: | 5706381260 |
Fax Number: | 5706382065 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |