| Wyoming Valley Alchol And Drug Services, Inc. | |
|
120 East Third Street Berwick PA 18603 | |
| (570) 820-8888 | |
| (570) 820-8899 |
| Full Name | Wyoming Valley Alchol And Drug Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 120 East Third Street, Berwick, Pennsylvania |
| Authorized Official Name and Position | Jason Harlen (CEO) |
| Authorized Official Contact | 5708208888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Valley Alchol And Drug Services, Inc. 437 North Main Street Wilkes Barre PA 18705 Ph: (570) 820-8888 | Wyoming Valley Alchol And Drug Services, Inc. 120 East Third Street Berwick PA 18603 Ph: (570) 820-8888 |
| NPI Number | 1831571413 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831571413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 197057 (Pennsylvania) | Primary |
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