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Wilkes Barre Treatment Llc
Substance Abuse Rehabilitation Facility in Laurel Run, Pennsylvania
NPI 1740780279

Wilkes Barre Treatment Llc is a Substance Abuse Rehabilitation Facility based in Pompano Beach, PA. Wilkes Barre Treatment Llc practices in Laurel Run, PA. The NPI Number for Wilkes Barre Treatment Llc is 1740780279 and holds a License No. (Pennsylvania).

The current practice location address for Wilkes Barre Treatment Llc is 1100 E Northampton St, Laurel Run, PA and can be reached out via phone at 954-533-7705 and via fax at 954-781-7173.

Location: 1100 E Northampton St, Laurel Run, PA, 33062-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740780279
Provider Name
Wilkes Barre Treatment Llc
Credential
Provider Entity Type
Organization
Address
1100 E Northampton St, Laurel Run, PA, 33062-4319
Phone Number
954-533-7705
Fax Number
954-781-7173
Provider Enumeration Date
02/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
407068 01 PA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1100 E Northampton St
City
Laurel Run
State
Pennsylvania
Zip
18706-9520
Phone Number
954-533-7705
Fax Number
954-781-7173
person
Provider Business Mailing Address Details
Address
1100 E Northampton St
City
Laurel Run
State
Pennsylvania
Zip
18706-9520
Phone Number
954-533-7705
Fax Number
954-781-7173
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
(Pennsylvania)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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