Organization
HAVEN OF TIOGA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BLANTON (MENTAL HEALTH THERAPIST)
(570) 634-3420
Entity
Organization
Contact information
Practice address
48 EAST AVE, WELLSBORO, PA 16901-1714
(570) 724-3549
(570) 724-1361
Mailing address
48 EAST AVE, WELLSBORO, PA 16901-1714
(570) 724-3549
(570) 724-1361
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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