Organization · NPI-2

Allasso Recovery Center INC

Clinic/Center, Rehabilitation, Substance Use Disorder · Allentown, PA

NPI number1912464462
StatusActive
Last updated in NPPESJan 4, 2020

Details

NPI
1912464462
Entity type
Organization (NPI-2)
Legal business name
Allasso Recovery Center INC
Organization subpart
No
Enumeration date
Feb 20, 2019
Certification date
Jan 4, 2020
Last updated
Jan 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

6235 Hamilton Blvd Ste 105
Allentown, PA 18106-9698

Phone 484-357-3210

Mailing address

6235 Hamilton Blvd Ste 105
Allentown, PA 18106-9698

Authorized official

Connie Uff
President
4843573210

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