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Organization
CARBON-MONROE-PIKE MH/MR PROGRAM
Active
Organization
CARBON-MONROE-PIKE MH/MR PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA THEODOROU (ADMINISTRATOR)
(570) 420-1900
Entity
Organization
Contact information
Practice address
10 BUIST RD, SUITE 404, MILFORD, PA 18337-9311
(570) 420-1900
(570) 517-5422
Mailing address
724 PHILLIPS ST, SUITE 202, STROUDSBURG, PA 18360-2242
(570) 420-1900
(570) 517-5422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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