Organization
ST. MICHAEL'S SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW M VARZALY LSW (EXECUTIVE DIRECTOR)
(570) 388-6155
Entity
Organization
Contact information
Practice address
HOBAN HEIGHTS, ROUTE 92, TUNKHANNOCK, PA 18657-0370
(570) 388-6155
Mailing address
PO BOX 370, TUNKHANNOCK, PA 18657-0370
(570) 388-6155
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
PA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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