NPI 1043472525

Martha Lloyd Crf Atf Trans

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Mansfield, PA

Practice location

Address: 105 Saint James Pl, Mansfield, PA 16933
Phone: (570) 297-2185
Fax: (570) 297-1019
Mailing address: 190 W Main St, Troy, PA 16947-1131

Authorised official

Name: William Miller
Title: Director
Phone: (570) 297-2185

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 202420 (PA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Registry record

NPI: 1043472525
Entity type: Organization
NPI issued: 26 Jun 2008
Record last updated: 26 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.