| Carbon - Monroe - Pike Drug & Alcohol Commission, Inc | |
|
430 S. 7th St Lehighton PA 18235-1824 | |
| (610) 377-5177 | |
| (610) 377-5099 |
| Full Name | Carbon - Monroe - Pike Drug & Alcohol Commission, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 430 S. 7th St, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Jamie Lynn Drake (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5704211960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon - Monroe - Pike Drug & Alcohol Commission, Inc 724 Phillips Street Suite 203 Stroudsburg PA 18360-2242 Ph: (570) 421-1960 | Carbon - Monroe - Pike Drug & Alcohol Commission, Inc 430 S. 7th St Lehighton PA 18235-1824 Ph: (610) 377-5177 |
| NPI Number | 1619947348 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619947348 | NPI | - | NPPES |
| 100773607 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 131044 (Pennsylvania) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 451044 (Pennsylvania) | Secondary |
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