Organization
THE BURKE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L NOWLAND BCM (OPERATIONS COORDINATOR)
(570) 240-4774
Entity
Organization
Contact information
Practice address
70 HOLLOW CREST RD, TUNKHANNOCK, PA 18657-9507
(570) 240-4774
(570) 836-6888
Mailing address
70 HOLLOW CREST RD, TUNKHANNOCK, PA 18657-9507
(570) 240-4774
(570) 836-6888
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102920597001
—
PA
01
—
576731
MEDICARE
PA
Enumeration date
11/12/2015
Last updated
01/20/2022
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