| Choices Program Of Wyoming Valley | |
|
562 Wyoming Ave Kingston PA 18704-3721 | |
| (570) 552-3700 | |
| (570) 552-3733 |
| Full Name | Choices Program Of Wyoming Valley |
|---|---|
| Speciality | Clinic/center |
| Location | 562 Wyoming Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Laurie Holtsford (DIRECTOR) |
| Authorized Official Contact | 6154657466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices Program Of Wyoming Valley 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3700 | Choices Program Of Wyoming Valley 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3700 |
| NPI Number | 1265668164 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265668164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 407030 (Pennsylvania) | Primary |
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