Organization
COUNTY OF WAYNE
Active
Other names
Wayne County Drug & Alcohol Commission
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE TOLERICO (DRUG & ALCOHOL ADMINISTRATOR)
(570) 253-6022
Entity
Organization
Contact information
Practice address
318 10TH ST, HONESDALE, PA 18431-1919
(570) 253-6022
Mailing address
318 10TH ST, HONESDALE, PA 18431-1919
(570) 253-6022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
647013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
647013
DEPT OF HEALTH LICENSE NO
PA
Enumeration date
02/01/2007
Last updated
08/22/2020
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