Organization
CLEARFIELD JEFFERSON DRUG AND ALCOHOL COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E. LASH (EXECUTIVE DIRECTOR)
(814) 371-9002
Entity
Organization
Contact information
Practice address
104 MAIN STREET, BOX 647, FALLS CREEK, PA 15840-0647
(814) 371-9002
(814) 371-9055
Mailing address
PO BOX 647, FALLS CREEK, PA 15840-0647
(814) 371-9002
(814) 371-9055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101835590 0001
—
PA
Enumeration date
03/19/2007
Last updated
08/22/2020
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