Marley's Mission Inc | |
2150 Port Royal Rd Clarks Summit PA 18411-9660 | |
(705) 874-6735 | |
(570) 587-4676 |
Full Name | Marley's Mission Inc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2150 Port Royal Rd, Clarks Summit, Pennsylvania |
Authorized Official Name and Position | April Marie Kemp (FOUNDER / PROGRAM DIRECTOR) |
Authorized Official Contact | 5705874673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marley's Mission Inc Po Box 505 Scranton PA 18501-0505 Ph: (570) 587-4673 | Marley's Mission Inc 2150 Port Royal Rd Clarks Summit PA 18411-9660 Ph: (705) 874-6735 |
NPI Number | 1255930368 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 08/04/2021 |
Certification Date | 08/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255930368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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