Provider Demographics
NPI:1275980419
Name:AVENUES RECOVERY CENTER OF BUCKS
Entity Type:Organization
Organization Name:AVENUES RECOVERY CENTER OF BUCKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOSF
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-299-7334
Mailing Address - Street 1:1753 KENDARBREN DR
Mailing Address - Street 2:SUITE 612
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1753 KENDARBREN DR
Practice Address - Street 2:SUITE 612
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1049
Practice Address - Country:US
Practice Address - Phone:848-299-7334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder