Organization
WALLS OF REFUGE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS C. BYAS MFT (CEO)
(267) 348-9916
Entity
Organization
Contact information
Practice address
527 HAMILTON ST, ALLENTOWN, PA 18101-1511
(267) 348-9916
Mailing address
527 HAMILTON ST, ALLENTOWN, PA 18101-1511
(267) 348-9916
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
QW53141
PA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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