Marcus Self Discovery Group LLC

NPI #1013532266 in Allentown, Pennsylvania

Provider Information

NPI Number: 1013532266
Entity Type: Organization
Organization Name: Marcus Self Discovery Group LLC
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 13, 2020
Last Updated: Jun 13, 2020

Practice Location

Address: 2203 W LIBERTY ST
City: Allentown
State: Pennsylvania
ZIP Code: 18104-4323
Phone: (484) 840-6929

Authorized Official

Name: MR. HARRY SHANE FALWELL
Title: FOUNDER/CEO
Phone: (484) 840-6929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X
Case Management	251B00000X
Voluntary or Charitable	251V00000X
Early Intervention Provider Agency	252Y00000X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Private Vehicle	347C00000X
Case Manager/Care Coordinator	171M00000X	Primary

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