NPIMap

Organization Active NPI

Diversified Treatment Alternative Centers LLC

Doing business as Diversified Treatment Alternative Centers

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Milton, PA
National Provider Identifier
1851826069
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
DIVERSIFIED TREATMENT ALTERNATIVE CENTERS LLC
Doing business as
Diversified Treatment Alternative Centers
Practice address
40 Lawton LN
Milton, PA 17847-9756
Phone
(732) 710-4431
NPI assigned
Apr 25, 2017
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Brook Reichenbach
Title
Business Office Manager
Phone
(570) 524-9986

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

40 Lawton LN
Milton, PA 17847-9756

Mailing address

40 Lawton LN
Milton, PA 17847-9756
Phone (570) 524-9986

Other practice location 1

160 Meadowbrook LN
Coal Township, PA 17866-1786
Phone (570) 964-5020

Other names 1

  • Diversified Treatment Alternative Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversified Treatment Alternative Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

160 Meadowbrook Ln
Coal Township, PA 17866
Phone (570) 964-5020

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1851826069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAWTON LN",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178479756",
            "telephone_number": "570-524-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAWTON LN",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178479756",
            "telephone_number": "732-710-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 MEADOWBROOK LN",
            "address_purpose": "LOCATION",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178661786",
            "country_code": "US",
            "telephone_number": "570-964-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED TREATMENT ALTERNATIVE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "REICHENBACH",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "570-524-9986"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Treatment Alternative Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversified Treatment Alternative Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.