Provider Demographics
NPI:1568628428
Name:BUCKS COUNTY COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC.
Entity Type:Organization
Organization Name:BUCKS COUNTY COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-345-6644
Mailing Address - Street 1:252 W SWAMP RD OFC CAMPUS
Mailing Address - Street 2:SUITE 12
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2422
Mailing Address - Country:US
Mailing Address - Phone:215-345-6644
Mailing Address - Fax:215-348-3377
Practice Address - Street 1:252 W SWAMP RD OFC CAMPUS
Practice Address - Street 2:SUITE 12
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2422
Practice Address - Country:US
Practice Address - Phone:215-345-6644
Practice Address - Fax:215-348-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health