Trehab Drug and Alcohol Outpatient Program
NPI #1053791566 in Susquehanna, Pennsylvania
Provider Information
- NPI Number
- 1053791566
- Entity Type
- Organization
- Organization Name
- Trehab Drug and Alcohol Outpatient Program
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TREHAB
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 1, 2015
- Last Updated
- Jul 28, 2015
Practice Location
- Address
- 1224 MAIN ST
- City
- Susquehanna
- State
- Pennsylvania
- ZIP Code
- 18847-2608
- Phone
- (570) 853-2303
Authorized Official
- Name
- DENNIS PHELPS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (570) 278-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| Trehab | |
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