Provider Demographics
NPI:1639358633
Name:RAINBOW RECOVERY CENTER, INC.
Entity Type:Organization
Organization Name:RAINBOW RECOVERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-269-5130
Mailing Address - Street 1:912 E STATE ST STE C
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3361
Mailing Address - Country:US
Mailing Address - Phone:724-269-5130
Mailing Address - Fax:724-269-5095
Practice Address - Street 1:912 E STATE ST STE C
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3361
Practice Address - Country:US
Practice Address - Phone:724-269-5130
Practice Address - Fax:724-269-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA437027261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA437027OtherFACILITY LICENSE