Provider Demographics
NPI:1396956124
Name:ALCOHOL & ADDICTIONS RESOURCE CENTER
Entity type:Organization
Organization Name:ALCOHOL & ADDICTIONS RESOURCE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BURDEN
Authorized Official - Suffix:
Authorized Official - Credentials:SAP, CEAP
Authorized Official - Phone:574-234-6024
Mailing Address - Street 1:818 E JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2905
Mailing Address - Country:US
Mailing Address - Phone:574-234-6024
Mailing Address - Fax:574-234-6025
Practice Address - Street 1:818 E JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2905
Practice Address - Country:US
Practice Address - Phone:574-234-6024
Practice Address - Fax:574-234-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health