Organization
PTEST LLC
Active
Organization
PTEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL D SPROW (MANAGING MEMBER)
(570) 760-0572
Entity
Organization
Contact information
Practice address
162 CARLISLE ST, WILKES BARRE, PA 18702-3402
(570) 760-0572
Mailing address
53 LAKE AVE, HUNLOCK CREEK, PA 18621-4239
(570) 760-0572
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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