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Contact Information

DOCTORS AND LAWYERS FOR A DRUG FREE YOUTH
238 MAIN ST
CLARION, PA16214-1043
 Phone: 814-226-4909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DOCTORS AND LAWYERS FOR A DRUG FREE YOUTH

NPI # 1548539141
LBN Legal business name DOCTORS AND LAWYERS FOR A DRUG FREE YOUTH
Authorized official THOMAS RADECKI - (OWNER/MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2011
Last updated 12/28/2011 - About 14 years ago
Identifiers
PA License # MD015591E
PA Medicaid 1014336910002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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