Organization
DIVERSIFIED TREATMENT ALTERNATIVE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK REICHENBACH (BUSINESS OFFICE MANAGER)
(570) 524-9986
Entity
Organization
Contact information
Practice address
40 LAWTON LN, MILTON, PA 17847-9756
(570) 524-9986
Mailing address
40 LAWTON LN, MILTON, PA 17847-9756
(570) 524-9986
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
08/16/2021
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