Provider Demographics
NPI:1992090781
Name:NAAMAN CENTER
Entity type:Organization
Organization Name:NAAMAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:BA, BS
Authorized Official - Phone:717-367-9115
Mailing Address - Street 1:4600 E HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9004
Mailing Address - Country:US
Mailing Address - Phone:717-367-9115
Mailing Address - Fax:717-367-9759
Practice Address - Street 1:835 HOUSTON RUN DR STE 230
Practice Address - Street 2:
Practice Address - City:GAP
Practice Address - State:PA
Practice Address - Zip Code:17527-9489
Practice Address - Country:US
Practice Address - Phone:888-243-4316
Practice Address - Fax:717-367-9759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAAMAN CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-09
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA367085101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100776805004Medicaid