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845 N Park Rd Suite 101 Wyomissing PA 19610-1342 | |
| (610) 334-8131 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 845 N Park Rd, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Scot Mason Depue (CEO) |
| Authorized Official Contact | 4847697626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
845 N Park Rd Suite 101 Wyomissing PA 19610-1342 Ph: (610) 334-8131 | 845 N Park Rd Suite 101 Wyomissing PA 19610-1342 Ph: (610) 334-8131 |
| NPI Number | 1497167167 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497167167 | NPI | - | NPPES |
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