Organization
NORTHEAST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED ABDO JR. LSW (EXECUTIVE DIRECTOR)
(570) 735-7590
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
251S00000X
Community/Behavioral Health Agency
Primary
100761571
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761571
—
PA
Enumeration date
11/04/2010
Last updated
11/04/2010
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