| Holistic Therapeutic Outreach Services, Llc | |
|
50 W Ridge St Lansford PA 18232-1342 | |
| (570) 805-4711 | |
| Not Available |
| Full Name | Holistic Therapeutic Outreach Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 50 W Ridge St, Lansford, Pennsylvania |
| Authorized Official Name and Position | Jonathan M Rodgers (SECRETARY/TREASURER) |
| Authorized Official Contact | 6105776092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Therapeutic Outreach Services, Llc 50 W Ridge St Lansford PA 18232-1342 Ph: (570) 805-4711 | Holistic Therapeutic Outreach Services, Llc 50 W Ridge St Lansford PA 18232-1342 Ph: (570) 805-4711 |
| NPI Number | 1821369000 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821369000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW128930 (Pennsylvania) | Primary |
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