Organization · Type 2 NPI
Little Creek Lodge
Substance Abuse Rehabilitation Facility · Lake Ariel, PA
NPI number
1508290636
Active
Practice location
359 Easton Tpke
Lake Ariel, PA 18436-4794
Fax (570) 689-2744
Mailing address
PO Box 942
Hamlin, PA 18427-0942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 647020 (PA) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Lake Ariel
About NPI 1508290636
Little Creek Lodge's National Provider Identifier is 1508290636, issued on Aug 26, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lake Ariel, PA. The record was last updated on Aug 26, 2013.