Provider Demographics
NPI:1699811232
Name:NAAMAN CENTER
Entity Type:Organization
Organization Name:NAAMAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:717-367-9115
Mailing Address - Street 1:248A MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1320
Mailing Address - Country:US
Mailing Address - Phone:717-806-7401
Mailing Address - Fax:717-806-7402
Practice Address - Street 1:248A MAPLE AVE
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1320
Practice Address - Country:US
Practice Address - Phone:717-806-7401
Practice Address - Fax:717-806-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA367078101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007768050001Medicaid