Provider Demographics
NPI:1538706973
Name:VISION OF A BETTER TOMORROW, INC.
Entity Type:Organization
Organization Name:VISION OF A BETTER TOMORROW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MA
Authorized Official - Phone:570-230-7267
Mailing Address - Street 1:150 LOOKOUT CT
Mailing Address - Street 2:
Mailing Address - City:HENRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18332-7759
Mailing Address - Country:US
Mailing Address - Phone:570-230-7267
Mailing Address - Fax:
Practice Address - Street 1:150 LOOKOUT CT
Practice Address - Street 2:
Practice Address - City:HENRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18332-7759
Practice Address - Country:US
Practice Address - Phone:570-230-7267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management