Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Laurel Behavioral Health Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MERYL GILBERT (CFO)
(570) 662-1955
Entity
Organization
Contact information
Practice address
105 WEST AVE, WELLSBORO, PA 16901-1358
(570) 723-0620
(570) 724-0675
Mailing address
7 WATER ST, WELLSBORO, PA 16901-1126
(570) 723-0620
(570) 724-0675
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/01/2007
Last updated
12/06/2018
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