Organization
FAYETTE CO. DRUG & ALCOHOL COMMISSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA SHERBONDY (EXECUTIVE DIRECTOR)
(724) 438-3576
Entity
Organization
Contact information
Practice address
100 NEW SALEM RD, SUITE 106, UNIONTOWN, PA 15401-8936
(724) 438-3576
(724) 438-3305
Mailing address
100 NEW SALEM RD, SUITE 106, UNIONTOWN, PA 15401-8936
(724) 438-3576
(724) 438-3305
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007582440007
—
PA
01
—
1517783
HIGHMARK
PA
01
—
1851372403
NPI COUNSELOR
PA
01
—
328848A336407
VALUE BEHAVIORAL HEALTH
PA
01
—
53591
PREMIER BLUE
PA
01
—
588527000
MAGELLAN AND AETNA
PA
Enumeration date
01/26/2007
Last updated
05/18/2009
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