NPIMap

Organization Active NPI

Trehab Drug and Alcohol Outpatient Center

  • Community/Behavioral Health Agency
  • Montrose, PA
National Provider Identifier
1174749220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TREHAB DRUG AND ALCOHOL OUTPATIENT CENTER
Practice address
60 Church St FL 2
Montrose, PA 18801-1231
Phone
(570) 278-3338
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis Phelps
Title
Executive Director
Phone
(570) 278-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

60 Church St FL 2
Montrose, PA 18801-1231

Mailing address

10 Public Avenue
PO Box 366
Montrose, PA 18801
Phone (570) 278-3338

National Provider Directory

National Provider Directory
Tax ID family
Trehab Drug and Alcohol Outpatient Program6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174749220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PUBLIC AVENUE",
            "address_2": "PO BOX 366",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "18801",
            "telephone_number": "570-278-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST FL 2",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011231",
            "telephone_number": "570-278-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREHAB DRUG AND ALCOHOL OUTPATIENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-278-3338"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.