Provider Demographics
NPI:1710500590
Name:BERKS COUNTY RECOVERY TRANSITIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:BERKS COUNTY RECOVERY TRANSITIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAYSEARS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-275-8962
Mailing Address - Street 1:13 INGOT DR
Mailing Address - Street 2:
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9639
Mailing Address - Country:US
Mailing Address - Phone:215-275-8962
Mailing Address - Fax:484-624-3280
Practice Address - Street 1:13 INGOT DR
Practice Address - Street 2:
Practice Address - City:BLANDON
Practice Address - State:PA
Practice Address - Zip Code:19510-9639
Practice Address - Country:US
Practice Address - Phone:215-275-8962
Practice Address - Fax:484-624-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty