Healthcare Provider Details

I. General information

NPI: 1295006526
Provider Name (Legal Business Name): NATIONAL ASSOCIATION ON DRUG ABUSE PROBLEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 LEXINGTON AVE 2ND FLOOR
NEW YORK NY
10017-6603
US

IV. Provider business mailing address

355 LEXINGTON AVE 2ND FLOOR
NEW YORK NY
10017-6603
US

V. Phone/Fax

Practice location:
  • Phone: 212-986-1170
  • Fax: 212-986-4261
Mailing address:
  • Phone: 212-986-1170
  • Fax: 212-986-4261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN A. DARIN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 212-986-1170