Reclaim Refuge | |
1065 S Madison St Allentown PA 18103-3022 | |
(267) 999-9155 | |
Not Available |
Full Name | Reclaim Refuge |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1065 S Madison St, Allentown, Pennsylvania |
Authorized Official Name and Position | Shanita S Menso (CEO) |
Authorized Official Contact | 2679999155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reclaim Refuge 1065 S Madison St Allentown PA 18103-3022 Ph: (267) 999-9155 | Reclaim Refuge 1065 S Madison St Allentown PA 18103-3022 Ph: (267) 999-9155 |
NPI Number | 1700616869 |
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Provider Enumeration Date | 08/05/2024 |
Last Update Date | 08/05/2024 |
Certification Date | 08/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700616869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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