Alcohol & Drug Abuse Services, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALCOHOL & DRUG ABUSE SERVICES, INC

Practice address

12 Church St Ste 100
Port Allegany, PA 16743-1116

Phone

(814) 642-2910

Fax

(814) 642-0725

NPI assigned

Apr 16, 2007

Last updated

Jul 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Eckstrom

Title

Executive Director

Phone

(814) 362-6517

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Firoz Pushkin Rahman, MD

  • Psychiatry Physician
  • Princeton, NJ
  • NPI 1053351080
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1184849093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHURCH ST STE 100",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431116",
            "telephone_number": "814-642-2910",
            "fax_number": "814-642-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHURCH ST STE 100",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431116",
            "telephone_number": "814-642-2910",
            "fax_number": "814-642-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL & DRUG ABUSE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "ECKSTROM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-362-6517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "427038",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "537034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007395340018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alcohol and Drug Abuse Services Inc
• Alcohol and Drug Abuse Services, Inc.
• Alisha Bachman
• Julie Baker, PA-C
• Jeffrey Scott Barber, PT

• Substance Abuse Rehabilitation Facility in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.