Carbon-Monroe-Pike MH/Mr Program
Organization Active NPI Case Management Agency · Stroudsburg, PA
NPI 1104017201 · NPPES record last updated Aug 5, 2007
Key facts
- NPI
- 1104017201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- CARBON-MONROE-PIKE MH/MR PROGRAM
- Practice address
- 730A Phillips St
Stroudsburg, PA 18360-2239 - Phone
- (570) 420-1900
- Fax
- (570) 517-5422
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Sheila Theodorou
- Title
- Administrator
- Phone
- (570) 420-1900
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Carbon-Monroe-Pike MHMR Program
Locations
730 Phillips St
#A
Stroudsburg, PA 18360
Phone (570) 420-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
730A Phillips St
Stroudsburg, PA 18360-2239
Mailing address
724 Phillips St
Suite 202
Stroudsburg, PA 18360-2242
Phone (570) 420-1900
Other providers in Stroudsburg, PA
- Burnley Workshop of the Poconos
- Shantele Burton
- Kimberly Calafiore
- Kellyann Cameron
- Carbon Monroe Pike MH DS
- Carbon-Monroe-Pike MH/Mr Prorgram
- Sarah S Carellas
- Carepine Home Health
- Danielle M Carlough
- Paul John Carpenter
All providers in Stroudsburg, PA · Case Management Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.