Organization
BEHAVIORAL MEDICINE ASSOCIATES OF NORTHEASTERN LENNSYLVANIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO SALAS GUERRA (BUSINESS MANAGER)
(570) 690-5159
Entity
Organization
Contact information
Practice address
480 PIERCE ST STE 303, KINGSTON, PA 18704-5512
(570) 690-5159
Mailing address
480 PIERCE ST STE 303, KINGSTON, PA 18704-5512
(570) 690-5159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD435626
PA
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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