| NPI | 1801022827 |
|---|---|
| Doing Business As | CHOICES PROGRAM OF WYOMING VALLEY |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 407052) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-04-26 |