Alcohol and Drug Abuse Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ALCOHOL AND DRUG ABUSE SERVICES, INC.

Practice address

118 Chestnut Street
Port Allegany, PA 16743

Phone

(814) 642-9522

NPI assigned

Sep 25, 2007

Last updated

Nov 2, 2010By 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

Evan R Dittman, B.S.

Title

Executive Director

Phone

(814) 642-2910

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Alcohol and Drug Abuse Services 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.

• Alcohol and Drug Abuse Services Inc

  • Substance Abuse Rehabilitation Facility
  • Port Allegany, PA
  • NPI 1417017096
  NPD tax ID

Locations

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1801083720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT STREET",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "16743",
            "telephone_number": "814-642-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CHESTNUT STREET",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "16743",
            "telephone_number": "814-642-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG ABUSE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "DITTMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-642-2910",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007395340037",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alcohol & Drug Abuse Services, Inc
• Alcohol and Drug Abuse Services Inc
• Alisha Bachman
• Julie Baker, PA-C
• Jeffrey Scott Barber, PT
• Brenda Bosworth
• Mark P Carlson, DMD

• Case Management Agency in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.