Organization
BRADFORD COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERTRUDE KINGSLEY (FISCAL DIRECTOR)
(570) 265-1760
Entity
Organization
Contact information
Practice address
220 MAIN ST UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Mailing address
220 MAIN ST UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007780690003
EARLY INTERVENTION SERVICES
PA
Enumeration date
08/18/2008
Last updated
08/18/2008
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