Provider Demographics
NPI:1306010160
Name:OATS PC
Entity Type:Organization
Organization Name:OATS PC
Other - Org Name:OUTPATIENT ADDICTIONS TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:CW
Authorized Official - Phone:610-687-6172
Mailing Address - Street 1:104 ANTON RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1226
Mailing Address - Country:US
Mailing Address - Phone:610-687-6172
Mailing Address - Fax:610-687-3385
Practice Address - Street 1:625 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3504
Practice Address - Country:US
Practice Address - Phone:610-563-8958
Practice Address - Fax:610-687-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty