OrganizationActive
Trainingtoward Self Reliance, Inc.
NPI 1144588237 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sligo, PA
Provider details
- NPI number
- 1144588237
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tammy Nelson, Ceo(814) 358-2472
- License
- 413180 (PA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 413180 (PA)
Residential Treatment Facilities
Practice location
2500 Canoe Ripple Rd
Sligo, PA 16255-1648
Phone: (814) 358-2472
Fax: (814) 358-2805
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Canoe Ripple Rd
Sligo, PA 16255-1648
Registry dates
- Enumerated
- 2012-04-26
- Last updated
- 2012-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.