Wyoming Valley Alcohol And Drug Services Inc | |
480 Pierce St 316-317 Kingston PA 18704-5512 | |
(570) 820-8888 | |
Not Available |
Full Name | Wyoming Valley Alcohol And Drug Services Inc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 480 Pierce St, Kingston, Pennsylvania |
Authorized Official Name and Position | Jason Harlen (CEO) |
Authorized Official Contact | 5708208888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wyoming Valley Alcohol And Drug Services Inc 437 N Main St Wilkes Barre PA 18705-1613 Ph: (570) 820-8888 | Wyoming Valley Alcohol And Drug Services Inc 480 Pierce St 316-317 Kingston PA 18704-5512 Ph: (570) 820-8888 |
NPI Number | 1275981573 |
---|---|
Provider Enumeration Date | 05/26/2016 |
Last Update Date | 05/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275981573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 407063 (Pennsylvania) | Primary |
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