| Clarvida | |
|
564 Main St Second Floor Stroudsburg PA 18360-2004 | |
| (570) 420-8070 | |
| Not Available |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 564 Main St, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Tim Sohosky (COO) |
| Authorized Official Contact | 5706285215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 564 Main St Second Floor Stroudsburg PA 18360-2004 Ph: (570) 420-8070 | Clarvida 564 Main St Second Floor Stroudsburg PA 18360-2004 Ph: (570) 420-8070 |
| NPI Number | 1013132190 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013132190 | NPI | - | NPPES |
| 1000017170471 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 224590 (Pennsylvania) | Primary |
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