1. Home
  2. Directory
  3. Pennsylvania
  4. Meadville
  5. Clinic Center
  6. NPI Profile

CRAWFORD COUNTY DRUG & ALCOHOL EXECUTIVE COMMISSION, INC.
NPI 1104806793
Clinic/Center - Rehabilitation, Substance Use Disorder in Meadville, PA

Active since January 19, 2006CLIA 39D2134664 · Waiver
920 WATER ST, DOWNTOWN MALL, MEADVILLE, PA 16335(814) 724-4100(814) 333-2779 Get Directions Write a Review

NPPES record last updated: August 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crawford County Drug & Alcohol Executive Commission, Inc. NPPES

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

CRAWFORD COUNTY DRUG & ALCOHOL EXECUTIVE COMMISSION, INC. (NPI 1104806793) is a healthcare organization registered as a rehabilitation, substance use disorder in Meadville, Pennsylvania and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Deborah J. Duffy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104806793
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCRAWFORD COUNTY DRUG & ALCOHOL EXECUTIVE COMMISSION, INC.
Location Address920 WATER ST, DOWNTOWN MALLMeadville, PA 16335-3439
Mailing Address920 Water St, Downtown MallMeadville, PA 16335-3439 · (814) 724-4100 · Fax (814) 333-2779
Phone(814) 724-4100
Fax(814) 333-2779
Organization SubpartNo
Authorized OfficialDeborah J. DuffyExecutive Director · (814) 724-4100
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 3, 2007
✔ NPI 1104806793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in PA · 201084
Also ListedCase ManagementTaxonomy 251B00000X · License 201084 (PA)
920 WATER ST, Meadville, PA 16335
Open in Google Maps ↗

Other Identifiers 3

Medicaid1007582350005PA
Medicaid1007582350006PA
Medicaid1007582350007PA

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 39D2134664

Crawford County Drug & Alcohol Executive Commissio · Meadville, PA
Active · expires Aug 7, 2027
CLIA Number39D2134664
Laboratory TypeOutpatient Drug & Alcohol
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorDr. Jill C. Miller
Laboratory Phone(814) 724-4100
Laboratory LocationCrawford County Drug & Alcohol Executive Commissio920 Water St Downtown Mall, Meadville, PA 16335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Crawford County Drug & Alcohol Executive Commission, Inc.'s NPI number?

The NPI number for Crawford County Drug & Alcohol Executive Commission, Inc. is 1104806793. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Crawford County Drug & Alcohol Executive Commission, Inc. located?

Crawford County Drug & Alcohol Executive Commission, Inc. is located at 920 Water St Downtown Mall, Meadville, PA 16335. The listed phone number is (814) 724-4100.

What is Crawford County Drug & Alcohol Executive Commission, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Crawford County Drug & Alcohol Executive Commission, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2134664) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crawford County Drug & Alcohol Executive Commission, Inc. was last updated on August 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.