Organization
BRADFORD COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LAVELLE (ADMINISTRATOR)
(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
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
PA
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000072830013
CYS
PA
01
—
1000072830014
RESOURCE COORDINATION
PA
01
—
1007780690001
TARGETED SERVICES MANAGEM
PA
01
—
1007780690003
EARLY INTERVENTION
PA
01
—
1007780690006
INTENSIVE CASE MANAGEMENT
PA
Enumeration date
05/11/2007
Last updated
07/21/2022
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