| Wyoming Valley Alcohol And Drug Services Inc | |
|
480 Pierce St Ste 103 Kingston PA 18704-5512 | |
| (570) 820-8888 | |
| (570) 820-8888 |
| Full Name | Wyoming Valley Alcohol And Drug Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 480 Pierce St Ste 103, Kingston, Pennsylvania |
| Authorized Official Name and Position | Frank Piazza (CFO) |
| Authorized Official Contact | 5708208888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Valley Alcohol And Drug Services Inc 437 N Main St Wilkes Barre PA 18705-1613 Ph: (570) 820-8888 | Wyoming Valley Alcohol And Drug Services Inc 480 Pierce St Ste 103 Kingston PA 18704-5512 Ph: (570) 820-8888 |
| NPI Number | 1639914211 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639914211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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