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Organization

ALCOHOL AND DRUG ABUSE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EVAN R DITTMAN B.S (EXECUTIVE DIRECTOR)
(814) 642-2910
Entity
Organization

Contact information

Practice address
120 CHESTNUT STREET, PORT ALLEGANY, PA 16743-1251
(814) 642-9541
(814) 642-9596
Mailing address
120 CHESTNUT STREET, PORT ALLEGANY, PA 16743-1251
(814) 642-9541
(814) 642-9596

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
127037
PA
324500000X
Substance Abuse Rehabilitation Facility
241094
PA
324500000X
Substance Abuse Rehabilitation Facility
427024
PA
324500000X
Substance Abuse Rehabilitation Facility
427033
PA
324500000X
Substance Abuse Rehabilitation Facility
427034
PA
324500000X
Substance Abuse Rehabilitation Facility
427038
PA
324500000X
Substance Abuse Rehabilitation Facility
Primary
537034
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007395340006
PA
05
1007395340007
PA
05
1007395340012
PA
05
1007395340015
PA
05
1007395340016
PA
05
1007395340018
PA
05
1007395340019
PA
Enumeration date
12/12/2006
Last updated
11/03/2010
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