Provider Demographics
NPI:1659419661
Name:JUNIATA VALLEY TRI-COUNTY DRUG AND ALCOHOL ABUSE COMMISSION
Entity Type:Organization
Organization Name:JUNIATA VALLEY TRI-COUNTY DRUG AND ALCOHOL ABUSE COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:S
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-242-1446
Mailing Address - Street 1:68 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2216
Mailing Address - Country:US
Mailing Address - Phone:717-242-1446
Mailing Address - Fax:717-242-1447
Practice Address - Street 1:68 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2216
Practice Address - Country:US
Practice Address - Phone:717-242-1446
Practice Address - Fax:717-242-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management