Organization
CHILDREN'S ADVOCACY CENTER OF NEPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LAPORTA (EXECUTIVE DIRECTOR)
(570) 969-7313
Entity
Organization
Contact information
Practice address
1710 MULBERRY ST, SCRANTON, PA 18510-2336
(570) 969-7313
(570) 969-7387
Mailing address
1710 MULBERRY ST, SCRANTON, PA 18510-2336
(570) 969-7313
(570) 969-7387
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809863
FIRST PRIORITY HEALTH
PA
Enumeration date
03/09/2007
Last updated
08/22/2020
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