Organization
TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM
Active
Parent organization
TREHAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREHAB
Authorized official
DENNIS PHELPS (EXECUTIVE DIRECTOR)
(570) 278-3338
Entity
Organization
Contact information
Practice address
1224 MAIN ST, SUSQUEHANNA, PA 18847-2608
(570) 853-2303
Mailing address
36 PUBLIC AVENUE, PO BOX 366, MONTROSE, PA 18801-1603
(570) 278-3338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4JB06601
PA
Other
Enumeration date
06/01/2015
Last updated
07/28/2015
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