Organization
ECO ARTS LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYEHN VERKITUS (OWNER)
(570) 267-7418
Entity
Organization
Contact information
Practice address
117 2ND ST, BLAKELY, PA 18447-1211
(570) 267-7418
Mailing address
117 2ND ST, BLAKELY, PA 18447-1211
(570) 267-7418
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629527189
NPI
PA
Enumeration date
09/26/2016
Last updated
09/26/2016
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