Northumberland County Mental Health Mental Retardation Program

NPI #1265414643 in Sunbury, Pennsylvania

Provider Information

NPI Number: 1265414643
Entity Type: Organization
Organization Name: Northumberland County Mental Health Mental Retardation Program
Primary Specialty: Case Management
Enumeration Date: Nov 19, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 217 N CENTER ST
Address 2: BLDG A
City: Sunbury
State: Pennsylvania
ZIP Code: 17801-2205
Phone: (570) 495-2212

Authorized Official

Name: MRS. JUDITH C DAVIS
Title: ADMINISTRATOR
Phone: (570) 495-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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