Organization
LUZERNE TREATMENT CENTER
Active
Organization
LUZERNE TREATMENT CENTER
Active
Other names
Luzerne Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
BERTEE THOMAS PSY.D (DIRECTOR OF RE-ENTRY OPERATIONS)
(215) 744-9601
Entity
Organization
Contact information
Practice address
600 E LUZERNE ST, LUZERNE TREATMENT CENTERS, PHILADELPHIA, PA 19124-4228
(215) 634-8960
(215) 634-8964
Mailing address
35 FAIRFIELD PL, COMMUNITY EDUCATION CENTERS, WEST CALDWELL, NJ 07006-6206
(973) 226-2900
(215) 634-8962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
PA
324500000X
Substance Abuse Rehabilitation Facility
807372
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824913
—
PA
01
—
774372000
MAGELLAN BH OF PA
PA
01
—
88868
CBH
PA
01
—
D0048
BHSI OF PHILADELPHIA
PA
Enumeration date
04/13/2007
Last updated
08/23/2016
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