| NPI | 1609889351 |
|---|---|
| Former Legal Business Name | ALCOHOLISM AND DRUG SERVICES OF LOWER LUZERNE COUNTY |
| Entity Type | Organization |
| Authorized Contact | KATIE PETROLE President & CEO 570-455-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: PA 226200) |
| 251S00000X Community/Behavioral Health (Licence: PA 226200) | |
| 261Q00000X Clinic/Center (Licence: PA 226200) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 226200) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 226200) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 226200) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-05-14 |