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Organization

ANGELS LIGHT HALF WAY HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH GREENBERG (BUSINESS MANAGER)
(914) 907-1246
Entity
Organization

Contact information

Practice address
201 DEPOT ST, YOUNGWOOD, PA 15697-1617
(724) 635-3458
(724) 635-3463
Mailing address
201 DEPOT ST, YOUNGWOOD, PA 15697-1617
(724) 635-3458
(724) 635-6463

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
08/05/2022
Last updated
08/14/2023
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