Organization
MINSEC COMPANIES, LLC
Active
Organization
MINSEC COMPANIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ROSE WORTHINGTON MS, CCBT,CCJP,CCDP (CHIEF OPERATING OFFICER)
(610) 892-9167
Entity
Organization
Contact information
Practice address
145 W BROAD ST, HAZLETON, PA 18201-6317
(570) 459-1748
(570) 489-1749
Mailing address
101 N PROVIDENCE RD, WALLINGFORD, PA 19086-6107
(610) 892-9167
(610) 892-9166
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
407056
PA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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