Organization
NEW STORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI RICH (DIRECTOR OF BHRS)
(570) 544-9273
Entity
Organization
Contact information
Practice address
751 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512-1511
(570) 285-7709
Mailing address
751 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512-1511
(570) 285-7709
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
BH001772
PA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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