Luzerne Wyoming Co Mhc#1
NPI #1275654956 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1275654956
- Entity Type
- Organization
- Organization Name
- Luzerne Wyoming Co Mhc#1
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 562 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3721
- Phone
- (570) 552-3700
Authorized Official
- Name
- MRS. MARY EDITH MARTIN, MSW,ACSW,LCSW,CCDP
- Title
- DIRECTOR OF ALL CHOICES PROGRAMS
- Phone
- (570) 552-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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