Organization · Type 2 NPI

Pennsylvania Associates, LLC

Methadone Clinic · Mount Pocono, PA

NPI number 1447580584 Active

Practice location

1151 Mount Pocono Blvd, Suite 3
Mount Pocono, PA 18344

Call (570) 839-7246 Map

Fax (570) 839-7248

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	457036 (PA)
Recovery Care Clinic/Center	261QR0800X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Other methadone clinic providers in Mount Pocono

Pennsylvania AssociatesMethadone Clinic Mount Pocono, PA NPI 1821702945

See all in Mount Pocono →

NPI record

NPI: 1447580584
Entity type: Organization (Type 2)
Issued: Jan 13, 2010
Last updated: Jul 23, 2026
Status: Active

Other names

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Mount Pocono Medical · doing business as
Mount Pocono Medical · doing business as

Authorized official

Robyn Tanis
Executive Director Contract MGMT
(856) 533-8762

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447580584

Pennsylvania Associates, LLC's National Provider Identifier is 1447580584, issued on Jan 13, 2010. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Mount Pocono, PA. The record was last updated on Jul 23, 2026.