Organization
LITTLE CREEK LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA WARREN-PACE (CFO)
(570) 689-2644
Entity
Organization
Contact information
Practice address
359 EASTON TPKE, LAKE ARIEL, PA 18436-4794
(570) 689-2644
(570) 689-2744
Mailing address
PO BOX 942, HAMLIN, PA 18427-0942
(570) 689-2644
(570) 689-2744
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
647020
PA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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