Berks Therapeutic Alliance

NPI #1497167167 in Wyomissing, Pennsylvania

Provider Information

NPI Number: 1497167167
Entity Type: Organization
Organization Name: Berks Therapeutic Alliance
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 28, 2014
Last Updated: May 28, 2014

Practice Location

Address: 845 N PARK RD
Address 2: SUITE 101
City: Wyomissing
State: Pennsylvania
ZIP Code: 19610-1342
Phone: (610) 334-8131

Authorized Official

Name: DR. SCOT MASON DEPUE, M.D.
Title: CEO
Phone: (484) 769-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Emergency Medicine	207P00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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