Williamsport Family Medical Center, LLC

Organization Methadone Clinic · NPI 1881954865

Williamsport Family Medical Center, LLC is a Methadone Clinic in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in: PA
In the registry since: 2012
Specialties on file: 3

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

422 Park Ave
Williamsport, PA 17701-4930
Phone: (570) 505-1123
Fax: (570) 505-1237

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

Specialties & licences

Methadone Clinic (primary)	Taxonomy 261QM2800X (PA)
Substance Use Disorder Rehabilitation Clinic/Center	Taxonomy 261QR0405X
Recovery Care Clinic/Center	Taxonomy 261QR0800X

Record details

NPI number	1881954865
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Robyn Tanis — Executive Director Of Contract Mgmt · (856) 533-8762
NPI enumerated	May 23, 2012
Last updated in NPPES	September 21, 2021
Certification date	September 21, 2021
Mailing address	1317 Route 73 Ste 200, Mount Laurel, NJ 08054-2202