Organization Name: | ALCOHOL & DRUG ABUSE SERVICES, INC |
NPI Number: | 1184849093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMY LYNN CONWAY (ADMINISTRATIVE OFFICER) |
Mailing Address: | 120 Chestnut Street Port Allegany |
State: | PA US |
Postal Code: | 167431251 |
Phone Number: | 8146422910 |
Fax Number: | 8146429596 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 427038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |