Provider Demographics
NPI:1154616159
Name:POSITIVE ACTION AGAINST CHEMICAL ADDICTION, INC.
Entity type:Organization
Organization Name:POSITIVE ACTION AGAINST CHEMICAL ADDICTION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-997-9051
Mailing Address - Street 1:360 COGGESHALL ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02746-1923
Mailing Address - Country:US
Mailing Address - Phone:508-997-9051
Mailing Address - Fax:508-991-6233
Practice Address - Street 1:360 COGGESHALL ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-1923
Practice Address - Country:US
Practice Address - Phone:508-997-9051
Practice Address - Fax:508-991-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable