Pennsylvania Associates, Llc, NPI 1447580584
Methadone Clinic in Mount Pocono, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1447580584
NPI Entity Type Organization
Provider Name Pennsylvania Associates, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 663 Mount Pocono Blvd, Unit 3, Mount Pocono, PA, US
Provider Mailing Address 1317 Route 73 Ste 200, Mount Laurel, NJ, US, 080542202
Is Sole Proprietor? No
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Organization Official

Official Name Robyn Tanis
Official Position EXECUTIVE DIRECTOR OF CONTRACT MGMT
Phone 856-533-8762

Primary Taxonomy

Taxonomy Code

261QM2800X

Taxonomy Name Methadone Clinic
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 457036
License State PA
Description An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Other Organization Name

Mount Pocono Medical
Doing Business As

Business Address

Pennsylvania Associates, Llc
663 Mount Pocono Blvd
Unit 3

Mount Pocono, PA, US

Phone: 570-839-7246
Fax: 570-839-7248

Mailing Address

Pennsylvania Associates, Llc
1317 Route 73 Ste 200
Mount Laurel, NJ, US
ZIP 080542202
Phone: 856-439-6111

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