Provider Demographics
NPI:1255930368
Name:MARLEY'S MISSION INC
Entity type:Organization
Organization Name:MARLEY'S MISSION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-587-4673
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18501-0505
Mailing Address - Country:US
Mailing Address - Phone:570-587-4673
Mailing Address - Fax:570-587-4676
Practice Address - Street 1:2150 PORT ROYAL RD
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-9660
Practice Address - Country:US
Practice Address - Phone:705-874-6735
Practice Address - Fax:570-587-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health