Organization
TREHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PHELPS (EXECUTIVE DIRECTOR)
(570) 278-5227
Entity
Organization
Contact information
Practice address
70 HOLLOW CREST RD, TUNKHANNOCK, PA 18657-9507
(570) 278-3338
(570) 278-9112
Mailing address
PO BOX 366, 36 PUBLIC AVE, MONTROSE, PA 18801-1603
(570) 278-3338
(570) 278-9112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
667065
PA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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