Organization
ASHLAND ADDICTION COUNSELING AND EDUCATION
Active
Other names
ashland addiction counseling and education
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ROMAN LSW (PROGRAM DIRECTOR)
(570) 205-2066
Entity
Organization
Contact information
Practice address
930 CENTRE ST, ASHLAND, PA 17921-1244
(570) 985-1149
Mailing address
930 CENTRE ST, ASHLAND, PA 17921-1244
(570) 205-2066
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
547031
PA
Other
Enumeration date
06/19/2015
Last updated
09/02/2015
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