| Council On Alcohol And Drug Abuse | |
|
502 E 4th St Bethlehem PA 18015-1882 | |
| (610) 814-3108 | |
| (610) 814-3109 |
| Full Name | Council On Alcohol And Drug Abuse |
|---|---|
| Speciality | Clinic/center |
| Location | 502 E 4th St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Paul Minnich (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6104370801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Council On Alcohol And Drug Abuse 1031 W Linden St Suite 202 Allentown PA 18102-3988 Ph: (610) 437-0801 | Council On Alcohol And Drug Abuse 502 E 4th St Bethlehem PA 18015-1882 Ph: (610) 814-3108 |
| NPI Number | 1902926835 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902926835 | NPI | - | NPPES |
| 1007531210001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 487029 (Pennsylvania) | Primary |
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