Organization
ALCOHOL AND DRUG ABUSE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN R DITTMAN B.S. (EXECUTIVE DIRECTOR)
(814) 642-2910
Entity
Organization
Contact information
Practice address
118 CHESTNUT STREET, PORT ALLEGANY, PA 16743
(814) 642-9522
Mailing address
120 CHESTNUT STREET, PORT ALLEGANY, PA 16743
(814) 642-2910
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007395340037
—
PA
Enumeration date
09/25/2007
Last updated
11/02/2010
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