NPIMap

Organization Active NPI

Diversified Treatment Alternative Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milton, PA
National Provider Identifier
1962018333
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVERSIFIED TREATMENT ALTERNATIVE CENTERS LLC
Practice address
40 Lawton LN
Milton, PA 17847-9756
Phone
(570) 524-0307
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40 Lawton LN
Milton, PA 17847-9756

Mailing address

40 Lawton LN
Milton, PA 17847-9756

Other practice location 1

435 E Front St
Danville, PA 17821-2021
Phone (570) 275-1380

Other practice location 2

184 E Village Dr
Williamsport, PA 17702-8023
Phone (570) 320-0359

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

435 E Front St
Danville, PA 17821
Phone (570) 275-1380

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1962018333",
    "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"
        },
        {
            "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": "570-524-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 E Front St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178212021",
            "country_code": "US",
            "telephone_number": "570-275-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 E Village Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177028023",
            "country_code": "US",
            "telephone_number": "570-320-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED TREATMENT ALTERNATIVE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2020; 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.