| Trehab Drug And Alcohol Outpatient Program | |
|
36 Public Ave Box 366 Montrose PA 18801-1220 | |
| (570) 278-3338 | |
| Not Available |
| Full Name | Trehab Drug And Alcohol Outpatient Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 36 Public Ave, Montrose, Pennsylvania |
| Authorized Official Name and Position | Dennis Phelps (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5702785227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trehab Drug And Alcohol Outpatient Program 36 Public Ave 2nd Floor Montrose PA 18801-1220 Ph: (570) 278-3338 | Trehab Drug And Alcohol Outpatient Program 36 Public Ave Box 366 Montrose PA 18801-1220 Ph: (570) 278-3338 |
| NPI Number | 1124209440 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124209440 | NPI | - | NPPES |
| 100-730-1450005 | Other | PA | MEDICAL ASSISTANCE |
| 100-730-1450007 | Other | PA | MEDICAL ASSISTANCE |
| 100-730-1450006 | Other | PA | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | H6526601 (Pennsylvania) | Primary |
Trehab Drug And Alcohol Outpatient Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Church St Fl 2, Montrose, PA 18801 Phone: 570-278-3338 |