Organization
JAMES A CASEY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CASEY (OWNER)
(570) 822-9011
Entity
Organization
Contact information
Practice address
199 S MAIN ST, WILKES BARRE, PA 18701-1502
(570) 822-9011
Mailing address
199 S MAIN ST, WILKES BARRE, PA 18701-1502
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
407055
PA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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