Healthcare Provider Details

I. General information

NPI: 1902940976
Provider Name (Legal Business Name): DRUG AND ALCOHOL REHABILIATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 PROSPECT ROAD
COLUMBIA PA
17512
US

IV. Provider business mailing address

1290 PROSPECT ROAD
COLUMBIA PA
17512
US

V. Phone/Fax

Practice location:
  • Phone: 717-285-0420
  • Fax: 717-285-0435
Mailing address:
  • Phone: 717-285-0420
  • Fax: 717-285-0435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number367074
License Number StatePA

VIII. Authorized Official

Name: MR. CHRISTOPHER RUNKLE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 717-285-0420