Provider Demographics
NPI:1144395732
Name:TREATMENT ACCESS AND SERVICES CENTER OF BERKS COUNTY (TASC), INC.
Entity Type:Organization
Organization Name:TREATMENT ACCESS AND SERVICES CENTER OF BERKS COUNTY (TASC), INC.
Other - Org Name:TASC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MILLOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-988-0674
Mailing Address - Street 1:19 N 6TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3586
Mailing Address - Country:US
Mailing Address - Phone:610-375-4426
Mailing Address - Fax:610-375-4712
Practice Address - Street 1:19 N 6TH ST STE 300
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3586
Practice Address - Country:US
Practice Address - Phone:610-375-4426
Practice Address - Fax:610-375-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA067048251B00000X
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007419800001Medicaid