MEDICARE: ABSTINENT LIVING AT THE TURNING POINT AT WASHINGTON, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	637023	PA

General Provider Information

NPI Number	:	1245376391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSTINENT LIVING AT THE TURNING POINT AT WASHINGTON, INC

Provider Business Mailing Address
First Line	:	199 N MAIN ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4354
Country	:	US
Telephone Number	:	724-228-2203
Fax Number	:	724-228-2460

Provider Business Practice Location Address
First Line	:	199 N MAIN ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4354
Country	:	US
Telephone Number	:	724-228-2203
Fax Number	:	724-228-2460

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. PATRICIA J. LUTZ
Credential	:	C. A. C.
Telephone Number	:	724-228-2203

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	06/16/2008

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