Providence Community Services

NPI #1871973073 in East Stroudsburg, Pennsylvania

Provider Information

NPI Number
1871973073
Entity Type
Organization
Organization Name
Providence Community Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 2, 2015
Last Updated
Jun 2, 2015

Practice Location

Address
41 CRYSTAL ST
Address 2
APT 4
ZIP Code
18301-2874
Phone
(570) 350-1294

Authorized Official

Name
MS. SHAHIDA L JONES, LSW
Title
THERAPIST
Phone
(570) 350-1294

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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