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Organization
TIOGA COUNTY DEPT. OF HUMAN SERVICES
Active
Organization
TIOGA COUNTY DEPT. OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX HARRISON (ADMINISTRATOR)
(570) 724-5766
Entity
Organization
Contact information
Practice address
63 THIRD STREET, SUITE 103, MANSFIELD, PA 16933
(570) 662-7600
(570) 662-7726
Mailing address
1873 SHUMWAY HILL ROAD, WELLSBORO, PA 16901
(570) 724-5766
(570) 724-6757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
228510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000000400025
—
PA
Enumeration date
08/02/2006
Last updated
03/25/2011
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