Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED ABDO JR. (EXECUTIVE DIRECTOR)
(570) 735-7590
Entity
Organization
Contact information
Practice address
100 ROCK GLEN RD, SUGARLOAF, PA 18249
(570) 455-6385
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710004
—
PA
Enumeration date
05/16/2013
Last updated
05/16/2013
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