Provider Demographics
NPI:1134324742
Name:A&O TRANSPORT AND RECOVERY CO., INC.
Entity Type:Organization
Organization Name:A&O TRANSPORT AND RECOVERY CO., INC.
Other - Org Name:A&O RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:BA, CAC, CJAP
Authorized Official - Phone:215-778-2504
Mailing Address - Street 1:7410 DUNGAN RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3641
Mailing Address - Country:US
Mailing Address - Phone:215-778-2504
Mailing Address - Fax:215-728-5912
Practice Address - Street 1:3319 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1438
Practice Address - Country:US
Practice Address - Phone:215-778-2504
Practice Address - Fax:215-426-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA807401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty