Organization
PINNACLE TREATMENT CENTERS PA-IX, LLC
Active
Other names
Hazleton Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
534 W BROAD ST, HAZLETON, PA 18201-6108
(570) 497-5173
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
03/04/2021
Last updated
10/27/2021
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