Provider Demographics
NPI:1447560461
Name:RECOVERY CONCEPTS ADDICTION COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:RECOVERY CONCEPTS ADDICTION COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:814-623-7370
Mailing Address - Street 1:233 E PITT ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1324
Mailing Address - Country:US
Mailing Address - Phone:814-623-7370
Mailing Address - Fax:814-623-7375
Practice Address - Street 1:233 E PITT ST
Practice Address - Street 2:SUITE # 6
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1324
Practice Address - Country:US
Practice Address - Phone:814-623-7370
Practice Address - Fax:814-623-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA057008261Q00000X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102038583001OtherMEDICAL ASSISTANCE/CBHNP