Healthcare Provider Details

I. General information

NPI: 1760685432
Provider Name (Legal Business Name): CENTER FOR HEALING & REHABILITATION IN SUBSTANCE ABUSE TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 STATE ST SUITE 206
ERIE PA
16507-1450
US

IV. Provider business mailing address

717 STATE ST SUITE 16, LL
ERIE PA
16501-1341
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-5295
  • Fax: 814-877-5299
Mailing address:
  • Phone: 814-480-7100
  • Fax: 814-480-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY RUFFA
Title or Position: PHYSICIAN
Credential: MD
Phone: 814-877-5295