| Luzerne/wyoming Counties Drug And Alcohol Program | |
|
20 N Pennsylvania Ave Penn Place Building Suite 218 Wilkes-barre PA 18701-3509 | |
| (570) 826-8790 | |
| (570) 826-3079 |
| Full Name | Luzerne/wyoming Counties Drug And Alcohol Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 N Pennsylvania Ave, Wilkes-barre, Pennsylvania |
| Authorized Official Name and Position | Michael Donahue (D&A PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 5708268790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luzerne/wyoming Counties Drug And Alcohol Program 20 N Pennsylvania Ave Penn Place Building Suite 218 Wilkes-barre PA 18701-3509 Ph: (570) 826-8790 | Luzerne/wyoming Counties Drug And Alcohol Program 20 N Pennsylvania Ave Penn Place Building Suite 218 Wilkes-barre PA 18701-3509 Ph: (570) 826-8790 |
| NPI Number | 1215027602 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215027602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Luzerne County Children & Youth Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 North Pennsylvania Avenue, Suite 110, Wilkes-barre, PA 18701 Phone: 570-826-8710 Fax: 570-826-8704 |