| Compassionate Care Aba Llc | |
|
34 Mallard Rd Holland PA 18966-2112 | |
| (267) 512-3856 | |
| Not Available |
| Full Name | Compassionate Care Aba Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 34 Mallard Rd, Holland, Pennsylvania |
| Authorized Official Name and Position | Kristy Katsoris (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2675123856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Aba Llc 34 Mallard Rd Holland PA 18966-2112 Ph: (267) 512-3856 | Compassionate Care Aba Llc 34 Mallard Rd Holland PA 18966-2112 Ph: (267) 512-3856 |
| NPI Number | 1104644335 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104644335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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