Whalio Doctors

NPI 1114070307

Recovery Revolution, INC.

Organisation Voluntary or Charitable Agency Bangor, PA

Practice location

Address
109 Broadway, Bangor, PA 18013-2505
Phone
(610) 599-7700
Fax
(610) 599-7714
Mailing address
PO Box 746, Bangor, PA 18013-0746

Authorised official

Name
Jana Morris
Title
Executive Director
Phone
(610) 599-7700

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 487033 (PA)

Registry record

NPI
1114070307
Entity type
Organization
NPI issued
19 Jan 2007
Record last updated
2 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.