Organization
NORTHEAST AUTISM CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL L BUSHWICK PHD (EXECUTIVE DIRECTOR)
(570) 575-2378
Entity
Organization
Contact information
Practice address
1401 MULBERRY ST, SCRANTON, PA 18510-2224
(570) 558-3198
Mailing address
1401 MULBERRY ST, SCRANTON, PA 18510-2224
(570) 558-3198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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