Provider Demographics
NPI:1124563069
Name:ACHIEVING TRUE SELF, INC.
Entity type:Organization
Organization Name:ACHIEVING TRUE SELF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-287-2036
Mailing Address - Street 1:8865 NORWIN AVE
Mailing Address - Street 2:SUITE 27, #23
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2769
Mailing Address - Country:US
Mailing Address - Phone:866-287-2036
Mailing Address - Fax:888-244-1718
Practice Address - Street 1:48 N CENTRE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2306
Practice Address - Country:US
Practice Address - Phone:866-287-2036
Practice Address - Fax:888-244-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty