Active NPI
Treatment Court Advocacy Center of Lackawanna County
- Community/Behavioral Health Agency
- Clarks Summit, PA
National Provider Identifier
1205500055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TREATMENT COURT ADVOCACY CENTER OF LACKAWANNA COUNTY
- Practice address
- 212 Front St
Clarks Summit, PA 18411-1709 - Phone
- (570) 585-5600
- Fax
- (570) 585-5601
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Joseph Bolock Jr.
- Title
- President/Ceo
- Phone
- (570) 585-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
212 Front St
Clarks Summit, PA 18411-1709
Mailing address
212 Front St
Clarks Summit, PA 18411-1709
Phone (570) 585-5600
National Provider Directory
National Provider DirectoryLocations
212 Front St
Clarks Summit, PA 18411
Phone (570) 585-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1205500055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 FRONT ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111709",
"telephone_number": "570-585-5600",
"fax_number": "570-585-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 FRONT ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111709",
"telephone_number": "570-585-5600",
"fax_number": "570-585-5601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREATMENT COURT ADVOCACY CENTER OF LACKAWANNA COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "BOLOCK",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "570-585-5600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.