Irene Stacy Cmhc
NPI #1417131202 in Butler, Pennsylvania
Provider Information
- NPI Number
- 1417131202
- Entity Type
- Organization
- Organization Name
- Irene Stacy Cmhc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IRENE STACY CMHC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 28, 2007
- Last Updated
- Dec 28, 2007
Practice Location
- Address
- 112 HILLVUE DRIVE
- City
- Butler
- State
- Pennsylvania
- ZIP Code
- 16001-3498
- Phone
- (724) 287-0791
Authorized Official
- Name
- ROGER A KELLY, LPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (724) 287-0791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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