Organization
ALCOHOL & DRUG ABUSE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ECKSTROM (EXECUTIVE DIRECTOR)
(814) 362-6517
Entity
Organization
Contact information
Practice address
12 CHURCH ST STE 100, PORT ALLEGANY, PA 16743-1116
(814) 642-2910
(814) 642-0725
Mailing address
12 CHURCH ST STE 100, PORT ALLEGANY, PA 16743-1116
(814) 642-2910
(814) 642-9596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
537034
PA
324500000X
Substance Abuse Rehabilitation Facility
427038
PA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007395340018
—
PA
Enumeration date
04/16/2007
Last updated
07/29/2019
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