Provider Demographics
NPI:1235359373
Name:MONROE COUNTY CHILDREN & YOUTH SERV
Entity Type:Organization
Organization Name:MONROE COUNTY CHILDREN & YOUTH SERV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL TECHNICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-420-3590
Mailing Address - Street 1:730 PHILLIPS STREET
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2224
Mailing Address - Country:US
Mailing Address - Phone:570-420-3590
Mailing Address - Fax:570-420-3598
Practice Address - Street 1:730 PHILLIPS STREET
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2224
Practice Address - Country:US
Practice Address - Phone:570-420-3590
Practice Address - Fax:570-420-3598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care