Organization
THE GRANITEVILLE HOUSE OF RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEEN SAMAD (CFO)
(570) 417-5419
Entity
Organization
Contact information
Practice address
5452 MAIN RD, SWEET VALLEY, PA 18656-2482
(570) 417-5419
Mailing address
5452 MAIN RD, SWEET VALLEY, PA 18656-2482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
407066
PA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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