# CASEY RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699444992
- **Authorized official:** MS. JUDITH MARITA BLANKENSHIP BA (PROJECT DIRECTOR)
- **Authorized official phone:** (570) 371-3433

## Contact information

- **Practice address:** 26 HILL ST, WILKES BARRE, PA 18702-4924
- **Practice address phone:** (570) 371-3433
- **Mailing address:** 26 HILL ST, WILKES BARRE, PA 18702-4924
- **Mailing address phone:** (570) 371-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/13/2021