Organization
PATHWAY TO RECOVERY COUNSELING & EDUCATIONAL SERVICES
Active
Other names
Alcoholism and Drug Services of Lower Luzerne County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE PETROLE (PRESIDENT & CEO)
(570) 455-9902
Entity
Organization
Contact information
Practice address
223 WEST BROAD ST., HAZLETON, PA 18201
(570) 455-9902
(570) 455-9452
Mailing address
223 WEST BROAD ST., HAZLETON, PA 18201
(570) 455-9902
(570) 455-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251K00000X
Public Health or Welfare Agency
226200
PA
251S00000X
Community/Behavioral Health Agency
226200
PA
261Q00000X
Clinic/Center
226200
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
226200
PA
261QM0850X
Adult Mental Health Clinic/Center
226200
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
226200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005442270002
—
PA
Enumeration date
08/14/2006
Last updated
05/14/2024
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