Fellowship House LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1770208571

Fellowship House LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Olyphant, Pennsylvania. Works from 2 locations. Registered with an NPI since 2022.

In the registry since: 2022
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

126 Willow Ave
Olyphant, PA 18447-1442
Phone: (845) 332-5468

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

1554 Sanderson Ave, Scranton, PA 18509-2259 — (570) 382-8157

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary)	Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility	Taxonomy 324500000X

Record details

NPI number	1770208571
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Timothy Calpin — Coo · (570) 382-8157
Other names	Fellowship House
NPI enumerated	October 5, 2022
Last updated in NPPES	November 16, 2023
Certification date	July 24, 2023
Mailing address	126 Willow Ave, Olyphant, PA 18447-1442