| Honesdale Behavorial Health | |
|
600 Maple Ave Ste 15 Honesdale PA 18431-1460 | |
| (570) 253-8219 | |
| Not Available |
| Full Name | Honesdale Behavorial Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Maple Ave Ste 15, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5702538450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Honesdale Behavorial Health 601 Park St Honesdale PA 18431-1445 Ph: () - | Honesdale Behavorial Health 600 Maple Ave Ste 15 Honesdale PA 18431-1460 Ph: (570) 253-8219 |
| NPI Number | 1558882720 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 09/14/2020 |
| Medicare PECOS PAC ID | 3072598937 |
|---|---|
| Medicare Enrollment ID | O20170711000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558882720 | NPI | - | NPPES |
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