Provider Demographics
NPI:1982842712
Name:DON MILLS ACHIEVEMENT CENTER
Entity Type:Organization
Organization Name:DON MILLS ACHIEVEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-723-5730
Mailing Address - Street 1:677 HOSPITAL DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4849
Mailing Address - Country:US
Mailing Address - Phone:814-723-5730
Mailing Address - Fax:814-230-7480
Practice Address - Street 1:677 HOSPITAL DR
Practice Address - Street 2:SUITE J
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-4849
Practice Address - Country:US
Practice Address - Phone:814-723-5730
Practice Address - Fax:814-230-7480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3-05-62-000-2252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency