Organization
FRIENDSHIP HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE A. GILROY CPA (EXECUTIVE VICE PRESIDENT)
(570) 342-8305
Entity
Organization
Contact information
Practice address
1509 MAPLE ST, SCRANTON, PA 18505-2707
(570) 342-8305
(570) 344-1172
Mailing address
1509 MAPLE ST, SCRANTON, PA 18505-2707
(570) 342-8305
(570) 344-1172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
109710
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
225110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100759410-0018
—
PA
05
—
100759410-0048
—
PA
Enumeration date
02/02/2006
Last updated
12/20/2017
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