Provider Demographics
NPI:1669655908
Name:RECOVERY CONCEPTS ADDICTION COUNSELING SERVICES, L.L.C.
Entity Type:Organization
Organization Name:RECOVERY CONCEPTS ADDICTION COUNSELING SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:814-623-7370
Mailing Address - Street 1:9528 LINCOLN HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-3764
Mailing Address - Country:US
Mailing Address - Phone:814-623-7370
Mailing Address - Fax:
Practice Address - Street 1:9528 LINCOLN HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-3764
Practice Address - Country:US
Practice Address - Phone:814-623-7370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA057008261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center