Organization
FELLOWSHIP HOUSE LLC
Active
Other names
Fellowship House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CALPIN (COO)
(570) 382-8157
Entity
Organization
Contact information
Practice address
126 WILLOW AVE, OLYPHANT, PA 18447-1442
(845) 332-5468
Mailing address
126 WILLOW AVE, OLYPHANT, PA 18447-1442
(845) 332-5468
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/05/2022
Last updated
11/16/2023
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