TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM
NPI 1053791566
Community/Behavioral Health in Susquehanna, PA

Q: What is Trehab Drug And Alcohol Outpatient Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 01, 2015CLIA 39D2145314 · Waiver

1224 MAIN ST, SUSQUEHANNA, PA 18847(570) 853-2303 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Trehab Drug And Alcohol Outpatient Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM (NPI 1053791566) is a healthcare organization registered as a community/behavioral health in Susquehanna, Pennsylvania and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Dennis Phelps, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053791566

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameTREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM

Location Address1224 MAIN STSusquehanna, PA 18847-2608

Mailing Address36 Public Avenue, Po Box 366Montrose, PA 18801-1603 · (570) 278-3338

Phone(570) 853-2303

Organization SubpartYesParent: Trehab

Authorized OfficialDennis PhelpsExecutive Director · (570) 278-3338

Enumeration DateJune 1, 2015

Last NPPES UpdateJuly 28, 2015

✔ NPI 1053791566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in PA · 4JB06601

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1224 MAIN ST, Susquehanna, PA 18847

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2145314

Trehab · Montrose, PA

Active · expires Mar 5, 2028

CLIA Number39D2145314

Laboratory TypeOutpatient Drug & Alcohol

Certificate Effective DateMarch 6, 2026

Certificate Expiration DateMarch 5, 2028

Laboratory DirectorDr. Ihab A. Dana

Laboratory Phone(570) 278-3338

Laboratory LocationTrehab36 Public Ave, Montrose, PA 18801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH HERSCHEL

Counselor (Addiction (Substance Use Disorder))

1224 MAIN ST
SUSQUEHANNA, PA 18847

Susquehanna County (570) 853-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trehab Drug And Alcohol Outpatient Program's NPI number?

The NPI number for Trehab Drug And Alcohol Outpatient Program is 1053791566. It was assigned to this organization in the NPPES registry on June 1, 2015.

Where is Trehab Drug And Alcohol Outpatient Program located?

Trehab Drug And Alcohol Outpatient Program is located at 1224 Main St, Susquehanna, PA 18847. The listed phone number is (570) 853-2303.

What is Trehab Drug And Alcohol Outpatient Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Trehab Drug And Alcohol Outpatient Program hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2145314) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trehab Drug And Alcohol Outpatient Program was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.