Organization
NORTHUMBERLAND COUNTY DRUG & ALCOHOL PROGRAM
Active
Organization
NORTHUMBERLAND COUNTY DRUG & ALCOHOL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL RICHARD WILLIAMSON MED, LPC, CAC (DRUG & ALCOHOL ADMINISTRATOR)
(570) 495-2161
Entity
Organization
Contact information
Practice address
217 N CENTER ST, SUNBURY, PA 17801-2205
(570) 495-2154
(570) 988-4347
Mailing address
217 N CENTER ST, SUNBURY, PA 17801-2205
(570) 495-2154
(570) 988-4347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
497022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497022
FACILITY LICENSE NUMBER
PA
Enumeration date
02/12/2007
Last updated
08/22/2020
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