Provider Demographics
NPI:1033568738
Name:OPIOID ADDICTION RECOVERY SERVICES
Entity Type:Organization
Organization Name:OPIOID ADDICTION RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:NEGRINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-651-9095
Mailing Address - Street 1:2360 HOSPITAL DR LOWER LEVEL
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2160
Mailing Address - Country:US
Mailing Address - Phone:724-912-6277
Mailing Address - Fax:724-252-3224
Practice Address - Street 1:2360 HOSPITAL DR LOWER LEVEL
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2160
Practice Address - Country:US
Practice Address - Phone:724-912-6277
Practice Address - Fax:724-252-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103256068Medicaid