Provider Demographics
NPI:1760685432
Name:CENTER FOR HEALING & REHABILITATION IN SUBSTANCE ABUSE TREATMENT
Entity Type:Organization
Organization Name:CENTER FOR HEALING & REHABILITATION IN SUBSTANCE ABUSE TREATMENT
Other - Org Name:NEW HOPE ADDICTION MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-877-5295
Mailing Address - Street 1:717 STATE ST
Mailing Address - Street 2:SUITE 16, LL
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1341
Mailing Address - Country:US
Mailing Address - Phone:814-480-7100
Mailing Address - Fax:814-480-7604
Practice Address - Street 1:333 STATE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1450
Practice Address - Country:US
Practice Address - Phone:814-877-5295
Practice Address - Fax:814-877-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty