| Peer Drug And Alcohol Program | |
|
512 Hamilton St Ste 200 Allentown PA 18101-1505 | |
| (267) 253-6588 | |
| (484) 221-9440 |
| Full Name | Peer Drug And Alcohol Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 512 Hamilton St Ste 200, Allentown, Pennsylvania |
| Authorized Official Name and Position | Erik Edgardo Juarez Mendez (CEO) |
| Authorized Official Contact | 2672536588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peer Drug And Alcohol Program 512 Hamilton St Ste 200 Allentown PA 18101-1505 Ph: (267) 253-6588 | Peer Drug And Alcohol Program 512 Hamilton St Ste 200 Allentown PA 18101-1505 Ph: (267) 253-6588 |
| NPI Number | 1710490438 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710490438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 397067 (Pennsylvania) | Primary |
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