OrganizationActive
Williamsport Family Medical Center, LLC
NPI 1881954865 · Methadone Clinic · Williamsport, PA
Provider details
- NPI number
- 1881954865
- 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
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Recovery Care Clinic/Center261QR0800X
Ambulatory Health Care Facilities
Practice location
422 Park Ave
Williamsport, PA 17701-4930
Phone: (570) 505-1123
Fax: (570) 505-1237
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.