Organization
WYOMING VALLEY ALCOHOL & DRUG SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLEN M.A. (CEO)
(570) 820-8888
Entity
Organization
Contact information
Practice address
49 SOUTH MAIN ST., PITTSTON, PA 18640
(570) 820-8888
(570) 820-8899
Mailing address
437 NORTH MAIN ST., WILKES BARRE, PA 18705
(570) 820-8888
(570) 820-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
401216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401216
DEPARTMENT OF HEALTH
PA
Enumeration date
03/17/2008
Last updated
01/28/2020
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