| Pacco Llc | |
|
2030 Center St. Plaza Suite 104, Northampton, Pa 18067 PA 18067 | |
| (610) 262-6999 | |
| (610) 262-6990 |
| Full Name | Pacco Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2030 Center St. Plaza, Northampton, Pa 18067, Pennsylvania |
| Authorized Official Name and Position | Milton Leonardo Reyes (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6102626999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacco Llc 2030 Center St. Plaza Suite 104, Northampton, Pa 18067 PA 18067 Ph: (610) 262-6999 | Pacco Llc 2030 Center St. Plaza Suite 104, Northampton, Pa 18067 PA 18067 Ph: (610) 262-6999 |
| NPI Number | 1326205170 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326205170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |