Provider Demographics
NPI:1861950909
Name:ADVANCED TREATMENT CENTERS LLC
Entity type:Organization
Organization Name:ADVANCED TREATMENT CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-735-9398
Mailing Address - Street 1:60 ABELE RD STE 1103
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-3467
Mailing Address - Country:US
Mailing Address - Phone:412-838-7127
Mailing Address - Fax:
Practice Address - Street 1:60 ABELE RD STE 1103
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3467
Practice Address - Country:US
Practice Address - Phone:412-838-7127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA707302OtherPENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS