Organization
CLEAR BROOK, INC.
Active
Other names
Clear Brook Manor/Clear Brook Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDAN MCGOVERN (CONTROLLER)
(570) 822-0800
Entity
Organization
Contact information
Practice address
1100 E NORTHAMPTON ST, LAUREL RUN, PA 18706-9520
(570) 823-1171
(570) 823-1582
Mailing address
37 N RIVER ST, WILKES BARRE, PA 18702-2403
(570) 822-0800
(570) 822-0817
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
401889/402119
PA
Other
Enumeration date
08/23/2006
Last updated
04/23/2013
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