Provider Demographics
NPI:1770218562
Name:BEYOND ADDICTION RECOVERY AND TREATMENT CENTER, LLC
Entity Type:Organization
Organization Name:BEYOND ADDICTION RECOVERY AND TREATMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEPSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-406-6662
Mailing Address - Street 1:10 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-2580
Mailing Address - Country:US
Mailing Address - Phone:570-282-2469
Mailing Address - Fax:
Practice Address - Street 1:10 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2580
Practice Address - Country:US
Practice Address - Phone:570-282-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility