Healthcare Provider Details
I. General information
NPI: 1912733247
Provider Name (Legal Business Name): BEST ADDICTION CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1027 W MAIN ST
MOUNT PLEASANT PA
15666-1785
US
IV. Provider business mailing address
1027 W MAIN ST
MOUNT PLEASANT PA
15666-1785
US
V. Phone/Fax
- Phone: 724-260-1767
- Fax:
- Phone: 724-260-1767
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BETH
MARCIESKI
Title or Position: OWNER
Credential: PA-C
Phone: 724-260-1767