| Treatment Court Advocacy Center Of Lackawanna County | |
|
212 Front St Clarks Summit PA 18411-1709 | |
| (570) 585-5600 | |
| (570) 585-5601 |
| Full Name | Treatment Court Advocacy Center Of Lackawanna County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Front St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Frank Joseph Bolock (PRESIDENT/CEO) |
| Authorized Official Contact | 5705855600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Court Advocacy Center Of Lackawanna County 212 Front St Clarks Summit PA 18411-1709 Ph: (570) 585-5600 | Treatment Court Advocacy Center Of Lackawanna County 212 Front St Clarks Summit PA 18411-1709 Ph: (570) 585-5600 |
| NPI Number | 1205500055 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205500055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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