Organization
BRADFORD COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LAVELLE (ADMINISTRATOR)
(570) 265-1760
Entity
Organization
Contact information
Practice address
220 MAIN ST, UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Mailing address
220 MAIN ST, UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1000072830014
PA
251B00000X
Case Management Agency
1007780690001
PA
251B00000X
Case Management Agency
Primary
1007780690003
PA
251B00000X
Case Management Agency
1007780690006
PA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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