Organization
TRAININGTOWARD SELF RELIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN NELSON (CEO)
(814) 358-2472
Entity
Organization
Contact information
Practice address
2500 CANOE RIPPLE RD, SLIGO, PA 16255-1648
(814) 358-2472
(814) 358-2805
Mailing address
2500 CANOE RIPPLE RD, SLIGO, PA 16255-1648
(814) 358-2472
(814) 358-2805
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
413180
PA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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