Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED ABDO JR. LSW (EXECUTIVE DIRECTOR)
57073575090
Entity
Organization
Contact information
Practice address
120 E 3RD ST # R, BERWICK, PA 18603-3726
(570) 759-7855
Mailing address
130 W WASHINGTON ST, NANTICOKE, PA 18634-3113
(570) 735-7590
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
100761571
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761571
—
PA
05
—
1007615710044
—
PA
Enumeration date
05/15/2008
Last updated
05/15/2008
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