Organization
LUZERNE/WYOMING COUNTIES DRUG AND ALCOHOL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DONAHUE CAC (D&A PROGRAM ADMINISTRATOR)
(570) 826-8790
Entity
Organization
Contact information
Practice address
20 N PENNSYLVANIA AVE, PENN PLACE BUILDING SUITE 218, WILKES-BARRE, PA 18701-3509
(570) 826-8790
(570) 826-3079
Mailing address
20 N PENNSYLVANIA AVE, PENN PLACE BUILDING SUITE 218, WILKES-BARRE, PA 18701-3509
(570) 826-8790
(570) 826-3079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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