| Wyoming County Special Needs Association | |
|
636 Sr 29 N Tunkhannock PA 18657-7113 | |
| (570) 996-6222 | |
| (570) 996-6223 |
| Full Name | Wyoming County Special Needs Association |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 636 Sr 29 N, Tunkhannock, Pennsylvania |
| Authorized Official Name and Position | Jessica Burke (CEO) |
| Authorized Official Contact | 5709966222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming County Special Needs Association 636 Sr 29 N Tunkhannock PA 18657-7113 Ph: (570) 996-6222 | Wyoming County Special Needs Association 636 Sr 29 N Tunkhannock PA 18657-7113 Ph: (570) 996-6222 |
| NPI Number | 1790101798 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790101798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Primary |
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