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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