Organization
NORTHEAST COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICH ZABINSKI (MIS DIRECTOR)
(570) 455-6385
Entity
Organization
Contact information
Practice address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18775250053
—
PA
Enumeration date
02/25/2019
Last updated
02/25/2019
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