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Organization
WYOMING VALLEY ALCHOL AND DRUG SERVICES, INC.
Active
Organization
WYOMING VALLEY ALCHOL AND DRUG SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLEN M.A. (CEO)
(570) 820-8888
Entity
Organization
Contact information
Practice address
120 EAST THIRD STREET, BERWICK, PA 18603
(570) 820-8888
(570) 820-8899
Mailing address
437 NORTH MAIN STREET, WILKES BARRE, PA 18705
(570) 820-8888
(570) 820-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
197057
PA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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