Provider Demographics
NPI:1275961518
Name:COMMUNITY HOSPITAL DRUG AND ALCOHOL RECOVERY CENTER
Entity Type:Organization
Organization Name:COMMUNITY HOSPITAL DRUG AND ALCOHOL RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-497-7249
Mailing Address - Street 1:2600 W 9TH ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2040
Mailing Address - Country:US
Mailing Address - Phone:610-497-7200
Mailing Address - Fax:610-497-7244
Practice Address - Street 1:2600 W 9TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2040
Practice Address - Country:US
Practice Address - Phone:610-497-7200
Practice Address - Fax:610-497-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty