Organization
CARBON MONROE PIKE MH DS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA THEODOROU (ADMINISTRATOR)
(570) 420-1900
Entity
Organization
Contact information
Practice address
732 PHILLIPS ST, STROUDSBURG, PA 18360-2228
(570) 420-1900
(570) 517-5422
Mailing address
724 PHILLIPS ST, SUITE 202, STROUDSBURG, PA 18360-2242
(570) 420-1900
(570) 517-5422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
04/08/2015
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