Individual provider · Type 1 NPI
Timothy J. Krochta, BA
Substance Use Disorder Rehabilitation Clinic/Center · Wilkes-Barre, PA
NPI number
1184840357
Active
Practice location
Choices Recovery Program, Rear 307 Laird Street
Wilkes-Barre, PA 18702
Mailing address
67 Elizabeth St
Dallas, PA 18612-1710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in Wilkes-Barre
About NPI 1184840357
Timothy J. Krochta, BA's National Provider Identifier is 1184840357, issued on Apr 17, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Jul 8, 2007.