Wyoming Valley Alcohol & Drug Services, Inc in Wilkes Barre - Addiction (substance Use Disorder)
Wyoming Valley Alcohol & Drug Services, Inc - NPI 1558532671
Wyoming Valley Alcohol & Drug Services, Inc is a Addiction (substance Use Disorder) in Wilkes Barre, Pennsylvania. Wyoming Valley Alcohol & Drug Services, Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Wyoming Valley Alcohol & Drug Services, Inc is 1558532671. The last update date is 2020-01-28.
Wyoming Valley Alcohol & Drug Services, Inc's current location address is 437 North Main St., Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708208888 and fax number 5708208899. The mailing address for Wyoming Valley Alcohol & Drug Services, Inc is 437 North Main St., Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wyoming Valley Alcohol & Drug Services, Inc |
|---|---|
| Address | 437 North Main St., Wilkes Barre, Pennsylvania |
| Phone Number | 5708208888 |
| Fax Number | 5708208899 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Harlen Jason |
| Credentials | M.A. |
| Telephone Number | 5708208888 |
NPI Number Detail
| NPI Number | 1558532671 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
| Address | 437 North Main St. |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 18705 |
| Phone Number | 5708208888 |
| Fax Number | 5708208899 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 401216 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 401216 | PA | DEPARTMENT OF HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wyoming Valley Alcohol & Drug Services, Inc by the Centers for Medicare & Medicaid Services?
The Wyoming Valley Alcohol & Drug Services, Inc has been issued the NPI (National Provider Identifier) 1558532671, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wyoming Valley Alcohol & Drug Services, Inc's physical address?
The Wyoming Valley Alcohol & Drug Services, Inc is physically located at 437 North Main St., in the city of Wilkes Barre, PA, with the postal code 18705.
What is Wyoming Valley Alcohol & Drug Services, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wyoming Valley Alcohol & Drug Services, Inc's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Wyoming Valley Alcohol & Drug Services, Inc receive its 1558532671 assignment from the Centers for Medicare & Medicaid Services?
The Wyoming Valley Alcohol & Drug Services, Inc was assigned its 1558532671 by the Centers for Medicare & Medicaid Services on 2008-03-17.
When was the information pertaining to Wyoming Valley Alcohol & Drug Services, Inc most recently updated or revised?
The details related to Wyoming Valley Alcohol & Drug Services, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-28.