Organization
BEHAVIORAL SPECIALISTS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J KELLEHER MA MED (EXECUTIVE DIRECTOR)
(570) 524-0307
Entity
Organization
Contact information
Practice address
40 LAWTON LANE, MILTON, PA 17847
(570) 524-0307
(570) 524-9973
Mailing address
40 LAWTON LANE, MILTON, PA 17847
(570) 524-0307
(570) 524-9973
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
305760
PA
251B00000X
Case Management Agency
308060
PA
251S00000X
Community/Behavioral Health Agency
305760
PA
Other
Enumeration date
03/03/2006
Last updated
11/05/2008
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