Organization
NEW ROOTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN TOPOLSKI (COFOUNDER)
(570) 788-4455
Entity
Organization
Contact information
Practice address
121 WATER ST, WILKES BARRE, PA 18702-2519
(570) 788-4455
Mailing address
121 WATER ST, WILKES BARRE, PA 18702-2519
(570) 788-4455
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
02/21/2019
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