Provider Demographics
NPI:1326579780
Name:ALTERNATVIE COMMUNITY RESOURCE PROGRAM
Entity Type:Organization
Organization Name:ALTERNATVIE COMMUNITY RESOURCE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:JANKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-536-5611
Mailing Address - Street 1:1590 N CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-7019
Mailing Address - Country:US
Mailing Address - Phone:814-445-1717
Mailing Address - Fax:
Practice Address - Street 1:1590 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-7019
Practice Address - Country:US
Practice Address - Phone:814-445-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health