Provider Demographics
NPI:1427123009
Name:DRUG & ALCOHOL SERVICES OF BEAVER VALLEY, INC.
Entity type:Organization
Organization Name:DRUG & ALCOHOL SERVICES OF BEAVER VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-777-2498
Mailing Address - Street 1:300 SOUTH WALNUT LANE
Mailing Address - Street 2:SUITE 101/303
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1737
Mailing Address - Country:US
Mailing Address - Phone:724-777-2498
Mailing Address - Fax:724-371-0091
Practice Address - Street 1:300 SOUTH WALNUT LANE
Practice Address - Street 2:SUITE 101/303
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1737
Practice Address - Country:US
Practice Address - Phone:724-777-2498
Practice Address - Fax:724-371-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007593300008Medicaid
PA1427123009Medicaid