Provider Demographics
NPI:1164154811
Name:WE HAVE A CHOICE RECOVERY HOUSE FOR MEN LLC
Entity Type:Organization
Organization Name:WE HAVE A CHOICE RECOVERY HOUSE FOR MEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RECOVERY SPECIALIST
Authorized Official - Phone:570-534-5439
Mailing Address - Street 1:2114 TITANIA RD
Mailing Address - Street 2:
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-8266
Mailing Address - Country:US
Mailing Address - Phone:570-534-5439
Mailing Address - Fax:
Practice Address - Street 1:1411 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-7779
Practice Address - Country:US
Practice Address - Phone:570-534-5439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty