Nls Aba Services LLC

NPI #1962019406 in Plains, Pennsylvania

Provider Information

NPI Number
1962019406
Entity Type
Organization
Organization Name
Nls Aba Services LLC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Sep 29, 2020
Last Updated
Oct 8, 2020

Practice Location

Address
1086 ROUTE 315
City
Plains
ZIP Code
18702
Phone
(570) 823-7761

Authorized Official

Name
DIANE MITERKO
Title
CREDENTIALING COORDINATOR
Phone
(570) 823-7761

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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