Organization · Type 2 NPI

Provive Wellness Scranton LLC

Substance Abuse Rehabilitation Facility · Scranton, PA

NPI number 1790638567 Active

Practice location

1123 Capouse Ave
Scranton, PA 18509-2730

Call (347) 374-1767 Map

Mailing address

15 Perlman Dr Ste 120
Spring Valley, NY 10977-5281

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

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.

Another provider at this address

Gemini Recovery Centers at Scranton, LLCSubstance Use Disorder Rehabilitation Clinic/Center Scranton, PA NPI 1043085608

Other substance abuse rehabilitation facility providers in Scranton

See all in Scranton →

About NPI 1790638567

Provive Wellness Scranton LLC's National Provider Identifier is 1790638567, issued on Feb 19, 2026. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Scranton, PA. The record was last updated on Feb 19, 2026.