Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED ABDO JR. (EXEC. DIRECTOR)
(570) 455-6385
Entity
Organization
Contact information
Practice address
130 W WASHINGTON ST, NANTICOKE, PA 18634-3113
(570) 735-7590
Mailing address
130 W WASHINGTON ST, NANTICOKE, PA 18634-3113
(570) 735-7590
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1007615710026
PA
261QM0850X
Adult Mental Health Clinic/Center
1007615710026
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007615710026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007615710026
—
PA
Enumeration date
02/05/2007
Last updated
08/16/2007
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