PEER DRUG AND ALCOHOL PROGRAM (NPI# 1710490438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710490438 |
| Entity Type | Organization |
| Organization Name | PEER DRUG AND ALCOHOL PROGRAM |
| Other Organization Name | PEER DRUG AND ALCOHOL PROGRAM |
| Practice Address |
512 Hamilton St Ste 200 Allentown PA 18101-1505 |
| Practice Telephone | 2672536588 |
| Practice Fax Number | 4842219440 |
| Mailing Telephone | 2672536588 |
| Mailing Fax Number | 4842219440 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | ERIK EDGARDO JUAREZ MENDEZ (CEO) |
| Authorized Official Telephone | 2672536588 |
| Is Organization Subpart | Y |
| Parent Organization Name | RAICES PASTORAL COUNSELING & HUMAN DEVELOPMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
397067 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PEER DRUG AND ALCOHOL PROGRAM | Doing Business As Name - Organization |
| Street Address |
512 HAMILTON ST STE 200 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18101-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591197 | Natalie Patterson | Home Health Aide | 124 S.5th Street, Allentown, PA 18101 | 2020-02-23 |
| 1558856369 | Walgreen Co | Pharmacy | 541 Hamilton St, Allentown, PA 18101 | 2018-06-25 |
| 1184029886 | Lynette M. Dondero | Nurse Practitioner | 707 Hamilton Streeet, Suite 301, Allentown, PA 18101 | 2014-10-24 |
| 1831486513 | Virgen Pyram | Internal Medicine | 740 W Hamilton Ave, 14th Floor, Allentown, PA 18101 | 2011-07-01 |
| 1568568640 | Mark Joseph Dalton | Optometrist | 939 Hamilton St, Allentown, PA 18101 | 2006-09-15 |
| 1518922558 | Ronald Joseph Glickman | Dentist | 1144 Hamilton St, Allentown, PA 18101 | 2006-04-20 |
| 1477190585 | Treatment Trends, Inc. | Case Management | 24 S 5th St, Allentown, PA 18101 | 2019-12-09 |
| 1407952583 | Allentown Vision Center, PC | Optometrist | 939 Hamilton St, Allentown, PA 18101 | 2006-09-15 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1144202532 | Smita C Patel | Dentist | 1144 W Hamilton St, Allentown, PA 18101-1042 | 2005-11-19 |
| Find all providers in zip 18101 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750849337 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 3301 Devonshire Rd, Allentown, PA 18103-6907 | 2019-03-04 |
| 1700343522 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 1400 Gaskill St, Allentown, PA 18103-8433 | 2019-02-28 |
| 1386016939 | Walls of Refuge Community Services LLC | Clinic/Center | 527 Hamilton St, Allentown, PA 18101-1511 | 2015-10-22 |
| 1083085906 | Journey To Psychological Wellness, LLC | Clinic/Center | 1005 Brookside Rd Ste 80, Allentown, PA 18106-9023 | 2015-10-19 |
| 1619311537 | Omni Health Services, Inc. | Clinic/Center | 546 Hamilton St, Suite 100, Allentown, PA 18101-1503 | 2013-04-22 |
| 1891836078 | Lehigh Valley Community Mental Health Inc | Clinic/Center | 210 N 6th St # 214, Allentown, PA 18102-4112 | 2007-02-09 |
| 1538209564 | Lehigh Valley Community Mental Health Center Inc | Clinic/Center | 530 Ridge Ave, Allentown, PA 18102-5117 | 2007-02-07 |
| 1629183264 | Hispanic American Organization | Clinic/Center | 462 W Walnut St., Allentown, PA 18102 | 2006-08-21 |
| 1659839231 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 500 E Montgomery St, Allentown, PA 18103-5225 | 2019-03-04 |
| 1336451087 | Lehigh Valley Community Mental Health Center, Inc | Clinic/Center | 530 N 7th St, Allentown, PA 18102-2802 | 2010-07-10 |
| Find all providers in ALLENTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.