Doctor Name: | MR. JOSEPH SEMANEK |
NPI Number: | 1346466513 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS |
License Number: | |
Business Practice Address: | Choices Recovery Program Rear 307 Laird Street Wilkes-barre, PA - 18702 |
Business Phone Number: | 5704089320 |
Business Fax Number: | 5704089324 |
Mailing Address: | 20 E 6th St, WYOMING |
State: | PA |
Postal Code: | 186442028 |
Phone Number: | 5706550810 |
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: |