Organization
CARBON - MONROE - PIKE DRUG & ALCOHOL COMMISSION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LYNN DRAKE BS CADC (EXECUTIVE DIRECTOR)
(570) 421-1960
Entity
Organization
Contact information
Practice address
430 S. 7TH ST, LEHIGHTON, PA 18235-1824
(610) 377-5177
(610) 377-5099
Mailing address
724 PHILLIPS STREET, SUITE 203, STROUDSBURG, PA 18360-2242
(570) 421-1960
(570) 421-3548
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
131044
PA
324500000X
Substance Abuse Rehabilitation Facility
451044
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773607
—
PA
Enumeration date
01/25/2006
Last updated
01/06/2025
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