| Northeast Autism Center Inc. | |
|
1401 Mulberry St Scranton PA 18510-2224 | |
| (570) 558-3198 | |
| Not Available |
| Full Name | Northeast Autism Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Mulberry St, Scranton, Pennsylvania |
| Authorized Official Name and Position | Nathaniel L Bushwick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5705752378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Autism Center Inc. 1401 Mulberry St Scranton PA 18510-2224 Ph: (570) 558-3198 | Northeast Autism Center Inc. 1401 Mulberry St Scranton PA 18510-2224 Ph: (570) 558-3198 |
| NPI Number | 1225260466 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225260466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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