NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

CEDAR RESIDENCE LLC – #1407141930
dba CEDAR RESIDENCE
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

CEDAR RESIDENCE LLC
dba CEDAR RESIDENCE
929 CEDAR AVE FL 1
SCRANTON, PA18505-1253
 Phone: 570-955-3260
 Fax: 570-504-7278
 Website:
 

Specialty

Taxonomy

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty
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NPI Information

NPI Number 1407141930
Entity Organization
Organization subpart N
Enumeration date 06/13/2011
Last updated 01/04/2012
Identifiers
PA License # 357038
PA Medicaid 102615859

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