Organization
THE MAIN LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BEAUCHEMIN (CO-EXECUTIVE DIRECTOR)
(570) 265-0620
Entity
Organization
Contact information
Practice address
17 PINE ST, TOWANDA, PA 18848-1811
(570) 265-0620
Mailing address
17 PINE ST, TOWANDA, PA 18848-1811
(570) 265-0620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
218900
PA
Other
Enumeration date
01/24/2008
Last updated
12/17/2015
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