Glade Run Lutheran Services
NPI #1225193030 in Zelienople, Pennsylvania
Provider Information
- NPI Number
- 1225193030
- Entity Type
- Organization
- Organization Name
- Glade Run Lutheran Services
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- BEAVER ROAD
- City
- Zelienople
- State
- Pennsylvania
- ZIP Code
- 16063-0070
- Phone
- (724) 452-4453
Authorized Official
- Name
- DR. CHARLES T. LOCKWOOD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (724) 452-4453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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