Organization
ALPINE SPRINGS LINESVILLE, LLC
Active
Other names
Alpine Springs Rehabilitation and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DATISH (MEMBER)
(814) 818-0002
Entity
Organization
Contact information
Practice address
865 E JAMESTOWN RD, JAMESTOWN, PA 16134-9505
(814) 818-0002
Mailing address
865 E JAMESTOWN RD, JAMESTOWN, PA 16134-9505
(814) 818-0002
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
207020
PA
Other
Enumeration date
04/15/2016
Last updated
07/18/2019
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