235 W Lancaster Avenue Opco, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Monroeville, PA
NPI 1144825977 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1144825977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- 235 W LANCASTER AVENUE OPCO, LLC
- Practice address
- 2380 McGinley Rd
Monroeville, PA 15146-4400 - Phone
- (412) 516-9456
- NPI assigned
- Dec 1, 2020
- Organization subpart
- No
Authorized official
- Name
- Sergio Cruz
- Title
- Cfo
- Phone
- (610) 427-9434
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 235 W Lancaster Avenue Opco LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
2380 McGinley Rd
Monroeville, PA 15146-4400
Mailing address
2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone (610) 994-2900
Other names
- Recovery Centers of America at Monroeville
Other providers in Monroeville, PA
All providers in Monroeville, PA · Substance Abuse Rehabilitation Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.