Organization
BRADFORD COUNTY CHILDREN & YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTRUDE KINGSLEY (FISCAL OFFICER)
(570) 265-1760
Entity
Organization
Contact information
Practice address
220 MAIN ST UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Mailing address
220 MAIN ST UNIT 1, TOWANDA, PA 18848-1822
(570) 265-1760
(570) 265-8541
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000072830013
CYS MEDICALLY FRAGILE FOSTER CARE
PA
Enumeration date
06/04/2008
Last updated
06/04/2008
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