Mallory Ward in Kingston - Rehabilitation, Substance Use Disorder

Mallory Ward - NPI 1841414349

Mallory Ward is a Rehabilitation, Substance Use Disorder in Kingston, Pennsylvania. Mallory Ward practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Mallory Ward is 1841414349. The last update date is 2007-07-08.

Mallory Ward's current location address is 562 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5705523713. The mailing address for Mallory Ward is 562 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mallory Ward
Address 562 Wyoming Ave, Kingston, Pennsylvania
Phone Number 5705523713
Fax Number
Sole Proprietor Y
Credentials BA, CAC

NPI Number Detail

NPI Number 1841414349
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 562 Wyoming Ave
City Kingston
State Pennsylvania (PA)
Post Code 187043721
Phone Number 5705523713
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about Mallory Ward

What is the unique 10-digit identification code issued to Mallory Ward by the Centers for Medicare & Medicaid Services?

The Mallory Ward has been assigned the NPI (National Provider Identifier) 1841414349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mallory Ward?

The Mallory Ward is physically situated at 562 Wyoming Ave, in the city of Kingston, state of PA, with the postal code 187043721.

What is Mallory Ward's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mallory Ward is Rehabilitation, Substance Use Disorder, and the taxonomy code that categorizes this field of expertise is 261Qr0405X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841414349 to Mallory Ward?

The Centers for Medicare & Medicaid Services originally issued the 1841414349 to Mallory Ward on 2007-04-13.

When was the information pertaining to Mallory Ward most recently updated or revised?

The details related to Mallory Ward, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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