Provider Demographics
NPI:1487972675
Name:BLAIR COUNTY DRUG AND ALCOHOL PROGRAM INC.
Entity type:Organization
Organization Name:BLAIR COUNTY DRUG AND ALCOHOL PROGRAM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-693-9663
Mailing Address - Street 1:2875 ROUTE 764
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-8068
Mailing Address - Country:US
Mailing Address - Phone:814-693-9663
Mailing Address - Fax:814-693-9661
Practice Address - Street 1:2875 ROUTE 764
Practice Address - Street 2:SUITE 4
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8068
Practice Address - Country:US
Practice Address - Phone:814-693-9663
Practice Address - Fax:814-693-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management