Mistyisle Bridge. INC
NPI #1487784146 in Shippenville, Pennsylvania
Provider Information
- NPI Number
- 1487784146
- Entity Type
- Organization
- Organization Name
- Mistyisle Bridge. INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Oct 15, 2009
Practice Location
- Address
- 9664 ROUTE 322
- City
- Shippenville
- State
- Pennsylvania
- ZIP Code
- 16254-8734
- Phone
- (814) 226-1153
Authorized Official
- Name
- MR. TERRANCE BEAN
- Title
- PRESIDENT
- Phone
- (814) 226-1153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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