MEDICARE: NATIONAL ASSOCIATION ON DRUG ABUSE PROBLEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1295006526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL ASSOCIATION ON DRUG ABUSE PROBLEMS, INC.

Provider Business Mailing Address
First Line	:	355 LEXINGTON AVE
Second Line	:	2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10017-6603
Country	:	US
Telephone Number	:	212-986-1170
Fax Number	:	212-986-4261

Provider Business Practice Location Address
First Line	:	355 LEXINGTON AVE
Second Line	:	2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10017-6603
Country	:	US
Telephone Number	:	212-986-1170
Fax Number	:	212-986-4261

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. JOHN A. DARIN
Credential	:
Telephone Number	:	212-986-1170

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	01/18/2012

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