Individual
MR. TIMOTHY J KROCHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
CHOICES RECOVERY PROGRAM, REAR 307 LAIRD STREET, WILKES-BARRE, PA 18702
(570) 408-9320
Mailing address
67 ELIZABETH ST, DALLAS, PA 18612-1710
(503) 998-4241
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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