Organization
LUZERNE WYOMING CO MHC#1
Active
Other names
CHOICES A DIVISION OF BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY EDITH MARTIN MSW,ACSW,LCSW,CCDP (DIRECTOR OF ALL CHOICES PROGRAMS)
(570) 552-3700
Entity
Organization
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3700
Mailing address
RR 1 BOX 282C, WAPWALLOPEN, PA 18660-9771
(570) 417-2830
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CW014765
PA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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