Provider Demographics
NPI:1528699931
Name:CARON OUTPATIENT SERVICES, LLC
Entity type:Organization
Organization Name:CARON OUTPATIENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIRECTOR PATIENT FINANCIAL SERVI
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-743-6140
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:800-678-2332
Mailing Address - Fax:484-345-4318
Practice Address - Street 1:401 PLYMOUTH RD STE 325
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1650
Practice Address - Country:US
Practice Address - Phone:678-678-2332
Practice Address - Fax:484-435-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder