Laurel Wellness Centers

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

177110 Issued in PA

Legal business name

LAUREL WELLNESS CENTERS

Practice address

85 Beaver Drive
Dubois, PA 15801

Phone

(814) 503-8055

Fax

(814) 503-8145

NPI assigned

Mar 14, 2014

Organization subpart

Yes

Parent organization

ST. JOSEPH INSTITUTEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Campbell, MS

Title

President

Phone

(814) 692-4954

Specialties & licenses 1

Addresses

Part of

St Joseph Institute LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Joseph Institute, LLC

  • Substance Abuse Rehabilitation Facility
  • Port Matilda, PA
  • NPI 1063732717
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1083030936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JACOBS WAY",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168709240",
            "telephone_number": "814-692-4954",
            "fax_number": "814-692-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BEAVER DRIVE",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-503-8055",
            "fax_number": "814-503-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL WELLNESS CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH INSTITUTE",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-692-4954",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "177110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Dubois, PA
• Providers in Dubois, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.