Organization · Type 2 NPI

Martha Lloyd CRF Coppertree

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Troy, PA

NPI number 1528229804 Active

Practice location

20 Ballard St
Troy, PA 16947-1002

Call (570) 297-2185 Map

Fax (570) 297-1019

Mailing address

190 W Main St
Troy, PA 16947-1131

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X202850 (PA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1528229804

Martha Lloyd CRF Coppertree's National Provider Identifier is 1528229804, issued on Jun 19, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Troy, PA. The record was last updated on Jun 19, 2008.