Organization
ANGELS LIGHT ADDICTION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE DELEON (VP REVENUE CYCLE)
(845) 217-2480
Entity
Organization
Contact information
Practice address
1023 PITTSBURGH RD STE 100, UNIONTOWN, PA 15401-8407
(724) 550-4544
(724) 550-4766
Mailing address
17201 COLLINS AVE APT 2505, SUNNY ISLES BEACH, FL 33160-3482
(845) 217-2480
(845) 217-2481
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
08/05/2022
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