Organization
LOURDESMONT BEHAVIORAL HEALTH SERVICES
Active
Organization
LOURDESMONT BEHAVIORAL HEALTH SERVICES
Active
Other names
Good Shepherd Youth & Family Service of NBPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAL SANTOLI M.S. (COO)
(570) 348-6100
Entity
Organization
Contact information
Practice address
1327 WYOMING AVE, SCRANTON, PA 18509-2861
(570) 702-8360
(570) 702-8623
Mailing address
1327 WYOMING AVE, SCRANTON, PA 18509-2861
(570) 702-8360
(570) 702-8623
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1420220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007283070006
—
PA
Enumeration date
04/17/2007
Last updated
05/07/2014
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