Pennsylvania Associates, LLC
NPI #1447580584 in Mount Pocono, Pennsylvania
Provider Information
- NPI Number
- 1447580584
- Entity Type
- Organization
- Organization Name
- Pennsylvania Associates, LLC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Jan 13, 2010
- Last Updated
- Dec 6, 2019
Practice Location
- Address
- 663 MOUNT POCONO BLVD
- Address 2
- UNIT 3
- City
- Mount Pocono
- State
- Pennsylvania
- ZIP Code
- 18344
- Phone
- (570) 839-7246
Authorized Official
- Name
- ROBYN TANIS
- Title
- EXECUTIVE DIRECTOR OF CONTRACT MGMT
- Phone
- (856) 533-8762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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