Martha Lloyd Crf Coppertree

NPI #1528229804 in Troy, Pennsylvania

Provider Information

NPI Number
1528229804
Entity Type
Organization
Organization Name
Martha Lloyd Crf Coppertree
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 19, 2008
Last Updated
Jun 19, 2008

Practice Location

Address
20 BALLARD ST
City
Troy
ZIP Code
16947-1002
Phone
(570) 297-2185

Authorized Official

Name
WILLIAM MILLER
Title
DIRECTOR
Phone
(570) 297-2185

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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