| Luzerne Treatment Center | |
|
600 E Luzerne St Luzerne Treatment Centers Philadelphia PA 19124-4228 | |
| (215) 634-8960 | |
| (215) 634-8964 |
| Full Name | Luzerne Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 E Luzerne St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Bertee Thomas (DIRECTOR OF RE-ENTRY OPERATIONS) |
| Authorized Official Contact | 2157449601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luzerne Treatment Center 35 Fairfield Pl Community Education Centers West Caldwell NJ 07006-6206 Ph: (973) 226-2900 | Luzerne Treatment Center 600 E Luzerne St Luzerne Treatment Centers Philadelphia PA 19124-4228 Ph: (215) 634-8960 |
| NPI Number | 1316161706 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316161706 | NPI | - | NPPES |
| D0048 | Other | PA | BHSI OF PHILADELPHIA |
| 774372000 | Other | PA | MAGELLAN BH OF PA |
| 88868 | Other | PA | CBH |
| 01824913 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 807372 (Pennsylvania) | Secondary |
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