Healthcare Provider Details

I. General information

NPI: 1538431580
Provider Name (Legal Business Name): CHOICES IN ACTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 SPRUCE ST SUITE 710
SCRANTON PA
18503-1845
US

IV. Provider business mailing address

538 SPRUCE ST SUITE 710
SCRANTON PA
18503-1845
US

V. Phone/Fax

Practice location:
  • Phone: 570-878-9714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LEO VERGNETTI
Title or Position: PRESIDENT
Credential:
Phone: 570-209-5020