| Blended Case Management | |
|
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301 | |
| (570) 552-6000 | |
| Not Available |
| Full Name | Blended Case Management |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Frank Piazza (CONTROLLER/MIS DIRECTOR) |
| Authorized Official Contact | 5705523625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blended Case Management 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3625 | Blended Case Management 110 S Pennsylvania Ave Wilkes Barre PA 18701-3301 Ph: (570) 552-6000 |
| NPI Number | 1386884831 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386884831 | NPI | - | NPPES |
| 100002080 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Allied Health Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Scott St, Wilkes Barre, PA 18705 Phone: 570-348-2911 Fax: 570-341-4646 | |
A Better Today, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Main St, Wilkes Barre, PA 18701 Phone: 570-344-1444 | |
Loftus-vergari And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Washington St, Suite 1, Wilkes Barre, PA 18701 Phone: 570-822-9706 | |
Community Counseling Services Of Nepa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6020 | |
Family Service Association Of Northeastern Pennsylvania Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 West Market Street, Wilkes Barre, PA 18701 Phone: 570-823-5144 Fax: 570-829-5054 | |
Loftus-vergari Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Washington St, Suite 1, Wilkes Barre, PA 18701 Phone: 570-822-9706 Fax: 570-824-1408 | |
Community Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6021 |