NPI 1255479390

County of Wayne

Organisation Case Management Agency Honesdale, PA

Practice location

Address: 318 10th St, Honesdale, PA 18431-1919
Phone: (570) 253-6022

Authorised official

Name: Bonnie Tolerico
Title: Drug & Alcohol Administrator
Phone: (570) 253-6022

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 647013 (PA)

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Registry record

NPI: 1255479390
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 22 Aug 2020

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.