institution
Luzerne Wyoming County Mh Center #1
Methadone Clinic in Wilkes-Barre, Pennsylvania
NPI 1568583474

Luzerne Wyoming County Mh Center #1 is a Methadone Clinic based in Kingston, PA and is specialized in Methadone. Luzerne Wyoming County Mh Center #1 practices in Wilkes-Barre, PA. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1568583474 and holds a License No. (Pennsylvania).

The current practice location address for Luzerne Wyoming County Mh Center #1 is R 307 Laird Street, Wilkes-Barre, PA and can be reached out via phone at 570-408-9320 and via fax at 570-408-9324.

Location: R 307 Laird Street, Wilkes-Barre, PA, 18704-3721
institution
Provider Profile Details
NPI Number
1568583474
Provider Name
Luzerne Wyoming County Mh Center #1
Credential
Provider Entity Type
Organization
Address
R 307 Laird Street, Wilkes-Barre, PA, 18704-3721
Phone Number
570-408-9320
Fax Number
570-408-9324
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100002080-0051 05 PA
institution
Provider Business Practice Location Address Details
Address
R 307 Laird Street
City
State
Zip
18702
Phone Number
570-408-9320
Fax Number
570-408-9324
person
Provider Business Mailing Address Details
Address
R 307 Laird Street
City
State
Zip
18702
Phone Number
570-408-9320
Fax Number
570-408-9324
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
()
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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