Provider Demographics
NPI:1336526862
Name:UNITED NEIGHBORHOOD CENTERS OF NORTHEASTERN PENNSYLVANIA
Entity Type:Organization
Organization Name:UNITED NEIGHBORHOOD CENTERS OF NORTHEASTERN PENNSYLVANIA
Other - Org Name:UNITED NEIGHBORHOOD CENTERS OF NEPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-346-0759
Mailing Address - Street 1:425 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-4126
Mailing Address - Country:US
Mailing Address - Phone:570-346-0759
Mailing Address - Fax:
Practice Address - Street 1:425 ALDER ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-4126
Practice Address - Country:US
Practice Address - Phone:570-346-0759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management