NPI: 1184993040 · EBENSBURG, PA 15931 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/22/2011
| Authorized Official | DECRISCIO, STEVEN (CFO) |
| NPI Enumeration Date | 12/22/2011 |
Other providers sharing the same authorized official: DECRISCIO, STEVEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| 3JB LLC | BLAIRSVILLE | PA | $15K |
| 3JB LLC | HARRISON CITY | PA | $5K |
| 3JB LLC | DAVIDSVILLE | PA | $3K |
| MAINLINE CPL, LLC | CRESSON | PA | $2K |
| MAINLINE PHARMACY EBENSBURG, LLC | NANTY GLO | PA | $2K |
| 3JB LLC | SOMERSET | PA | $963.94 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 44 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 44 | 44 | $2K |