| Casey Recovery Llc | |
|
26 Hill St Wilkes Barre PA 18702-4924 | |
| (570) 371-3433 | |
| Not Available |
| Full Name | Casey Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 26 Hill St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Judith Marita Blankenship (PROJECT DIRECTOR) |
| Authorized Official Contact | 5703713433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Recovery Llc 26 Hill St Wilkes Barre PA 18702-4924 Ph: (570) 371-3433 | Casey Recovery Llc 26 Hill St Wilkes Barre PA 18702-4924 Ph: (570) 371-3433 |
| NPI Number | 1699444992 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699444992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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