Organization
COUNCIL ON ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MINNICH LSW, CAC (EXECUTIVE DIRECTOR)
(610) 437-0801
Entity
Organization
Contact information
Practice address
502 E 4TH ST, BETHLEHEM, PA 18015-1882
(610) 814-3108
(610) 814-3109
Mailing address
1031 W LINDEN ST, SUITE 202, ALLENTOWN, PA 18102-3988
(610) 437-0801
(610) 437-1997
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
487029
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007531210001
—
PA
Enumeration date
04/02/2007
Last updated
08/22/2020
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