Provider Demographics
NPI:1578612792
Name:ARMSTRONG INDIANA DRUG ALCOHOL COMMISSION
Entity Type:Organization
Organization Name:ARMSTRONG INDIANA DRUG ALCOHOL COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DISKIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-354-2746
Mailing Address - Street 1:10829 US ROUTE 422
Mailing Address - Street 2:P O BOX 238
Mailing Address - City:SHELOCTA
Mailing Address - State:PA
Mailing Address - Zip Code:15774-2236
Mailing Address - Country:US
Mailing Address - Phone:724-354-2746
Mailing Address - Fax:724-354-3132
Practice Address - Street 1:10829 US ROUTE 422
Practice Address - Street 2:
Practice Address - City:SHELOCTA
Practice Address - State:PA
Practice Address - Zip Code:15774-2236
Practice Address - Country:US
Practice Address - Phone:724-354-2746
Practice Address - Fax:724-354-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service