Wyoming Valley Alcohol & Drug Services, Inc

NPI 1558532671 - Counselor - 101YA0400X

NPI Details
NPI 1558532671
Enumeration Date 03/17/2008
Last Updated 11/26/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JASON JASON
Position CEO
Phone (570) 820-8888
Fax (570) 820-8899
Practice Location
49 SOUTH MAIN ST.
PITTSTON PA, 18640, US
Phone (570) 820-8888
Fax (570) 820-8899
Business Location
437 NORTH MAIN ST.
WILKES BARRE PA, 18705, US
Phone (570) 820-8888
Fax (570) 820-8899
Toxanomy
Taxonomy Code 101YA0400X
License State Pennsylvania
License Number 401216
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According to our database, Wyoming Valley Alcohol & Drug Services, Inc NPI is 1558532671, taxonomy code is 101YA0400X and license number is 401216, license state is located at Pennsylvania. Wyoming Valley Alcohol & Drug Services, Inc physically located at 49 South Main St., Pittston PA, 18640. NPI Number 1033115704 has the healthcare provider type.

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1558532671 NPI number is provided on an as is basis without warranty of any kind. 1558532671 is maintained by the National Plan & Provider Enumeration System. The contents of Wyoming Valley Alcohol & Drug Services, Inc are for informational purposes only.