Organization
DRUG AND ALCOHOL TREATMENT SERV
Active
Organization
DRUG AND ALCOHOL TREATMENT SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J. MCLAUGHLIN LSW (EXECUTIVE DIRECTOR)
(570) 344-3877
Entity
Organization
Contact information
Practice address
441 WYOMING AVENUE, SCRANTON, PA 18503-1800
(570) 344-3877
(570) 344-1090
Mailing address
116 N WASHINGTON AVE, SUITE 3A, SCRANTON, PA 18503-1800
(570) 961-1997
(570) 344-9632
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093511
FPH ID #
PA
05
—
1007465840002
—
PA
01
—
4544717
AETNA ID#
PA
01
—
90006
GEISINGER HEALTH ID#
PA
01
—
999022
BCBS ID #
PA
Enumeration date
02/22/2006
Last updated
06/15/2010
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