| Providence Community Services | |
|
41 Crystal St Apt 4 East Stroudsburg PA 18301-2874 | |
| (570) 350-1294 | |
| Not Available |
| Full Name | Providence Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 41 Crystal St, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Shahida L Jones (THERAPIST) |
| Authorized Official Contact | 5703501294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Community Services 41 Crystal St Apt 4 East Stroudsburg PA 18301-2874 Ph: (570) 350-1294 | Providence Community Services 41 Crystal St Apt 4 East Stroudsburg PA 18301-2874 Ph: (570) 350-1294 |
| NPI Number | 1871973073 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871973073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW132221 (Pennsylvania) | Primary |
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