Davis Archway Centers for Addiction Treatment, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.

Doing business as

Davis Archway Treatment Center

Practice address

114 Courson LN
Emlenton, PA 16373-2502

Phone

(724) 867-0202

Fax

(724) 867-0270

NPI assigned

Mar 2, 2020

Last updated

Mar 18, 2021By 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

Mr. Chet Leech, MS

Title

Ceo

Phone

(724) 867-0202

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Davis Archway Treatment Center Doing business as

Tax ID family

Davis Archway Centers for Addiction Treatment Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Davis Archway Centers for Addiction Treatment, Inc.

  dba The Davis Archway House

  • Substance Abuse Rehabilitation Facility
  • Butler, PA
  • NPI 1750617668
  NPD tax ID

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1780218594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 COURSON LN",
            "city": "EMLENTON",
            "state": "PA",
            "postal_code": "163732502",
            "telephone_number": "724-867-0202",
            "fax_number": "724-867-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COURSON LN",
            "city": "EMLENTON",
            "state": "PA",
            "postal_code": "163732502",
            "telephone_number": "724-867-0202",
            "fax_number": "724-867-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-867-0202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024600580002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
            "identifier": "107112",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Archway Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis Archway Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Anthony
• Makenna Armagost, RDN
• Tiffany Renee Covington, M.S.ED., BCBA, LBA
• Ava Crivelli, CRNP
• Emlenton Area Ambulance Service
• Joseph Gent
• Renee E Gilhousen
• Melinda Marie Huey, LAT, ATC
• Kara Ann Kerschbaumer

• Substance Abuse Rehabilitation Facility in Emlenton, PA
• Providers in Emlenton, 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 Mar 18, 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.

Verify at the official NPI Registry.