Provider Demographics
NPI:1083838924
Name:TREATMENT TRENDS INC
Entity Type:Organization
Organization Name:TREATMENT TRENDS INC
Other - Org Name:KEENAN HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DILLENSNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-432-7690
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0685
Mailing Address - Country:US
Mailing Address - Phone:610-432-7690
Mailing Address - Fax:610-439-0315
Practice Address - Street 1:1822 S 6TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-2102
Practice Address - Country:US
Practice Address - Phone:610-439-8479
Practice Address - Fax:610-439-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA391124261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009574440003Medicaid