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Organization

CARBON-MONROE-PIKE MH/MR PROGRAM

Active
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Organization

CARBON-MONROE-PIKE MH/MR PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
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
251B00000X
Case Management Agency
Primary

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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