Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED ABDO JR. (EXECUTIVE DIRECTOR)
(570) 735-7590
Entity
Organization
Contact information
Practice address
325 NORTH ST, WEST HAZLETON, PA 18202-3751
(570) 453-1920
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
1007615710032
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710032
—
PA
Enumeration date
08/27/2007
Last updated
08/27/2007
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