Provider Demographics
NPI:1235457029
Name:CARON TREATMENT CENTERS
Entity Type:Organization
Organization Name:CARON TREATMENT CENTERS
Other - Org Name:CARON FOUNDATION
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC ,PSYD
Authorized Official - Phone:610-743-6568
Mailing Address - Street 1:150 GALEN HALL ROAD
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:610-746-6568
Mailing Address - Fax:610-678-2494
Practice Address - Street 1:150 N GALEN HALL RD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-9319
Practice Address - Country:US
Practice Address - Phone:610-746-6568
Practice Address - Fax:610-678-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004988324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility