| Doctor Name: | MR. TIMOTHY J KROCHTA |
| NPI Number: | 1184840357 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA |
| License Number: | |
| Business Practice Address: | Choices Recovery Program Rear 307 Laird Street Wilkes-barre, PA - 18702 |
| Business Phone Number: | 5704089320 |
| Business Fax Number: | |
| Mailing Address: | 67 Elizabeth St, DALLAS |
| State: | PA |
| Postal Code: | 186121710 |
| Phone Number: | 5039984241 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |