OrganizationActive
Pennsylvania Associates, LLC
NPI 1447580584 · Methadone Clinic · Mount Pocono, PA
Provider details
- NPI number
- 1447580584
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robyn Tanis, Executive Director of Contract Mgmt(856) 533-8762
- License
- 457036 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
663 Mount Pocono Blvd
Unit 3
Mount Pocono, PA 18344
Phone: (570) 839-7246
Fax: (570) 839-7248
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Other names (DBA / former)
- Doing business as
- Mount Pocono Medical
- Doing business as
- Mount Pocono Medical
Registry dates
- Enumerated
- 2010-01-13
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.