Organization · Type 2 NPI
Goodwill Industries of Ne PA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wilkes Barre, PA
Practice location
243 S Washington St
Wilkes Barre, PA 18701-2802
Fax (570) 706-9587
Mailing address
925 Prospect Ave
Scranton, PA 18505-1858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 205250 (PA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 226671 (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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Wilkes Barre
About NPI 1891827846
Goodwill Industries of Ne PA's National Provider Identifier is 1891827846, issued on Mar 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 24, 2015.