Katie's Place Clubhouse | |
247 Penn Ave Scranton PA 18503-1918 | |
(272) 228-3294 | |
Not Available |
Full Name | Katie's Place Clubhouse |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 247 Penn Ave, Scranton, Pennsylvania |
Authorized Official Name and Position | Sarah Wodder (PRESIDENT/CEO) |
Authorized Official Contact | 5703486100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Katie's Place Clubhouse 247 Penn Ave Scranton PA 18503-1918 Ph: (272) 228-3294 | Katie's Place Clubhouse 247 Penn Ave Scranton PA 18503-1918 Ph: (272) 228-3294 |
NPI Number | 1811746340 |
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Provider Enumeration Date | 05/16/2024 |
Last Update Date | 05/16/2024 |
Certification Date | 05/16/2024 |
Identifier | Type | State | Issuer |
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1811746340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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