| Willow Foundation | |
|
100 S Wyoming St Hazleton PA 18201-7055 | |
| (570) 455-7000 | |
| Not Available |
| Full Name | Willow Foundation |
|---|---|
| Speciality | Counselor |
| Location | 100 S Wyoming St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Sarah Helcoski (PRESIDENT) |
| Authorized Official Contact | 5709471338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Foundation 287 W Butler Dr Drums PA 18222-2314 Ph: (570) 550-4485 | Willow Foundation 100 S Wyoming St Hazleton PA 18201-7055 Ph: (570) 455-7000 |
| NPI Number | 1194440958 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194440958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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