Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS EMERSHAW (EXEC DIRECTOR)
(570) 455-6385
Entity
Organization
Contact information
Practice address
24-26 E. BROAD ST, NANTICOKE, PA 18634-3113
(570) 455-6385
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1007615710043
PA
251B00000X
Case Management Agency
1007615710060
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1007615710043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710043
—
PA
05
—
1007615710060
—
PA
Enumeration date
02/06/2007
Last updated
02/10/2016
Update your record
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