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Organization

CASEY RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDITH MARITA BLANKENSHIP BA (PROJECT DIRECTOR)
(570) 371-3433
Entity
Organization

Contact information

Practice address
26 HILL ST, WILKES BARRE, PA 18702-4924
(570) 371-3433
Mailing address
26 HILL ST, WILKES BARRE, PA 18702-4924
(570) 371-3433

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/09/2021
Last updated
09/13/2021
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