Provider Demographics
NPI:1578892246
Name:DAUPHIN COUNTY
Entity Type:Organization
Organization Name:DAUPHIN COUNTY
Other - Org Name:DAUPHIN COUNTY DEPARTMENT OF DRUG AND ALCOHOL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NIMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-635-2254
Mailing Address - Street 1:1100 S CAMERON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2547
Mailing Address - Country:US
Mailing Address - Phone:717-635-2254
Mailing Address - Fax:717-635-2266
Practice Address - Street 1:1100 S CAMERON ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-2547
Practice Address - Country:US
Practice Address - Phone:717-635-2254
Practice Address - Fax:717-635-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management