Drug & Alcohol Outpatient

LBN: Prospect Ccmc, Llc
Drug & Alcohol Outpatient is an health care organization with primary practice located at 301 W 15Th St , Chester PA 19013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Prospect Ccmc, Llc can be contacted via phone (610) 619-8600, or through Elders, Robert Jon via phone (714) 788-1249.

Contact Information

Primary practice address
301 W 15Th St Chester PA 19013
Phone: (610) 619-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elders, Robert Jon
Phone: (714) 788-1249

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1376990366
LBN Legal business name Prospect Ccmc, Llc
DBA Doing business as Drug & Alcohol Outpatient
Authorized official Elders, Robert Jon
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2016
Last updated Jan 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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