Organization
CLEM-MAR HOUSE, INC.
Active
Organization
CLEM-MAR HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN REIMILLER (PROJECT DIRECTOR)
(570) 288-0403
Entity
Organization
Contact information
Practice address
2860 STATE ROUTE 309, DALLAS, PA 18612
(570) 674-1575
(570) 674-1588
Mailing address
P.O. BOX 2028, KINGSTON, PA 18704-7038
(570) 674-1575
(570) 674-1588
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
407053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016199680003
—
PA
Enumeration date
04/10/2007
Last updated
08/15/2018
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