Organization
CRAWFORD COUNTY DRUG & ALCOHOL EXECUTIVE COMMISSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J. DUFFY (EXECUTIVE DIRECTOR)
(814) 724-4100
Entity
Organization
Contact information
Practice address
920 WATER ST, DOWNTOWN MALL, MEADVILLE, PA 16335-3439
(814) 724-4100
(814) 333-2779
Mailing address
920 WATER ST, DOWNTOWN MALL, MEADVILLE, PA 16335-3439
(814) 724-4100
(814) 333-2779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
201084
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
201084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007582350005
—
PA
05
—
1007582350006
—
PA
05
—
1007582350007
—
PA
Enumeration date
01/19/2006
Last updated
08/03/2007
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