Provider Demographics
NPI:1851421598
Name:ERIE COUNTY OFFICE OF DRUG AND ALCOHOL ABUSE
Entity Type:Organization
Organization Name:ERIE COUNTY OFFICE OF DRUG AND ALCOHOL ABUSE
Other - Org Name:ERIE COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMATTIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:814-451-6890
Mailing Address - Street 1:155 W 8TH ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1012
Mailing Address - Country:US
Mailing Address - Phone:814-451-6890
Mailing Address - Fax:814-451-6899
Practice Address - Street 1:155 W 8TH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1012
Practice Address - Country:US
Practice Address - Phone:814-451-6877
Practice Address - Fax:814-451-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management