Organization · Type 2 NPI

Luzerne Wyoming Co Mhc#1

Substance Use Disorder Rehabilitation Clinic/Center · Kingston, PA

NPI number 1275654956 Active

Practice location

562 Wyoming Ave
Kingston, PA 18704-3721

Call (570) 552-3700 Map

Mailing address

RR 1 Box 282C
Wapwallopen, PA 18660-9771

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XCW014765 (PA)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1275654956

Luzerne Wyoming Co Mhc#1's National Provider Identifier is 1275654956, issued on Apr 2, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kingston, PA. The record was last updated on Aug 22, 2020.