Organization
WYOMING VALLEY ALCOHOL AND 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
437 NORTH MAIN ST., WILKES BARRE, PA 18705
(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
401216
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
407024
PA
Other
Enumeration date
10/05/2006
Last updated
11/26/2014
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