| The Graniteville House Of Recovery | |
|
5452 Main Rd Sweet Valley PA 18656-2482 | |
| (570) 417-5419 | |
| Not Available |
| Full Name | The Graniteville House Of Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5452 Main Rd, Sweet Valley, Pennsylvania |
| Authorized Official Name and Position | Janeen Samad (CFO) |
| Authorized Official Contact | 5704175419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Graniteville House Of Recovery 5452 Main Rd Sweet Valley PA 18656-2482 Ph: () - | The Graniteville House Of Recovery 5452 Main Rd Sweet Valley PA 18656-2482 Ph: (570) 417-5419 |
| NPI Number | 1588186092 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588186092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 407066 (Pennsylvania) | Secondary |
Functional Connections, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 448 Patla Rd, Sweet Valley, PA 18656 Phone: 570-550-0778 |