Organization
POTTER COUNTY HUMAN SERVICES
Active
Organization
POTTER COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C MORLEY (COUNTY COMMISSIONERS CHAIRMAN)
(814) 274-8290
Entity
Organization
Contact information
Practice address
62 NORTH ST., ROULETTE, PA 16746-0241
(814) 544-7315
(814) 544-9062
Mailing address
PO BOX 241, ROULETTE, PA 16746-0241
(814) 544-7315
(814) 544-9062
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100733450
PA
252Y00000X
Early Intervention Provider Agency
1007334500006
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733450
—
PA
Enumeration date
12/29/2006
Last updated
03/16/2016
Update your record
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