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General NPI Number Information
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NPI Number | 1184703860
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Entity Type | Organization
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Legal Business Name | TREATMENT ALTERNATIVES TO STREET CRIME, INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 E BOARDMAN ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1828
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Country | US
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Telephone | 330-743-2192
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Fax | 330-743-2408
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Provider Business Mailing Address
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Address Line | 105 E BOARDMAN ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1828
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Country | US
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Telephone | 330-743-2192
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Fax | 330-743-2408
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ANDREA L GLASS
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Credential | MS,CCDC1
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Telephone | 330-743-2192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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