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Pennsylvania Associates, Llc
Methadone Clinic in Mount Pocono, Pennsylvania
NPI 1447580584

Pennsylvania Associates, Llc is a Methadone Clinic based in Mount Laurel, PA and is specialized in Methadone. Pennsylvania Associates, Llc practices in Mount Pocono, PA. The NPI Number for Pennsylvania Associates, Llc is 1447580584 and holds a License No. 457036 (Pennsylvania).

The current practice location address for Pennsylvania Associates, Llc is 663 Mount Pocono Blvd, Mount Pocono, PA and can be reached out via phone at 570-839-7246 and via fax at 570-839-7248.

Location: 663 Mount Pocono Blvd, Mount Pocono, PA, 08054-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447580584
Provider Name
Pennsylvania Associates, Llc
Credential
Provider Entity Type
Organization
Address
663 Mount Pocono Blvd, Mount Pocono, PA, 08054-2202
Phone Number
570-839-7246
Fax Number
570-839-7248
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
457036 01 PA PA DEPARTMENT OF HEALTH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
663 Mount Pocono Blvd
City
Mount Pocono
State
Pennsylvania
Zip
18344
Phone Number
570-839-7246
Fax Number
570-839-7248
person
Provider Business Mailing Address Details
Address
663 Mount Pocono Blvd
City
Mount Pocono
State
Pennsylvania
Zip
18344
Phone Number
570-839-7246
Fax Number
570-839-7248
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
457036 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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