Healthcare Provider Details
I. General information
NPI: 1033568738
Provider Name (Legal Business Name): OPIOID ADDICTION RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2016
Last Update Date: 12/13/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2360 HOSPITAL DR LOWER LEVEL
ALIQUIPPA PA
15001-2160
US
IV. Provider business mailing address
2360 HOSPITAL DR LOWER LEVEL
ALIQUIPPA PA
15001-2160
US
V. Phone/Fax
- Phone: 724-912-6277
- Fax: 724-252-3224
- Phone: 724-912-6277
- Fax: 724-252-3224
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRYAN
P
NEGRINI
Title or Position: PRESIDENT
Credential: MD
Phone: 412-651-9095