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Luzerne Wyoming Co Mhc#1
Substance Use Disorder Rehabilitation Clinic/Center in Kingston, Pennsylvania
NPI 1275654956

Luzerne Wyoming Co Mhc#1 is a Substance Use Disorder Rehabilitation Clinic/Center based in Wapwallopen, PA and is specialized in Rehabilitation, Substance Use Disorder. Luzerne Wyoming Co Mhc#1 practices in Kingston, PA. The NPI Number for Luzerne Wyoming Co Mhc#1 is 1275654956 and holds a License No. CW014765 (Pennsylvania).

The current practice location address for Luzerne Wyoming Co Mhc#1 is 562 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-552-3700.

Location: 562 Wyoming Ave, Kingston, PA, 18660-9771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275654956
Provider Name
Luzerne Wyoming Co Mhc#1
Credential
Provider Entity Type
Organization
Address
562 Wyoming Ave, Kingston, PA, 18660-9771
Phone Number
570-552-3700
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
562 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3721
Phone Number
570-552-3700
Fax Number
person
Provider Business Mailing Address Details
Address
562 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3721
Phone Number
570-552-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
CW014765 (Pennsylvania)
Definition
Definition to come...
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