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Organization
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Active
Organization
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLEN MA (CEO)
(570) 820-8888
Entity
Organization
Contact information
Practice address
480 PIERCE ST, 316-317, KINGSTON, PA 18704-5512
(570) 820-8888
Mailing address
437 N MAIN ST, WILKES BARRE, PA 18705-1613
(570) 820-8888
(570) 820-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
407063
PA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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