Organization
LUO TREATMENT AND RECOVERY CENTER LLC
Active
Organization
LUO TREATMENT AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONZELL WADE LPC (LICENSED PROFESSIONAL COUNSELOR)
(724) 594-7670
Entity
Organization
Contact information
Practice address
504 8TH ST STE 5, NEW KENSINGTON, PA 15068-6201
(724) 594-7670
Mailing address
481 FARM HILL CT, NEW KENSINGTON, PA 15068-5807
(724) 594-7670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC006804
PA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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