Western Clinton County Community Services
NPI #1518170455 in Renovo, Pennsylvania
Provider Information
- NPI Number
- 1518170455
- Entity Type
- Organization
- Organization Name
- Western Clinton County Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 425 SAINT CLAIR AVE
- City
- Renovo
- State
- Pennsylvania
- ZIP Code
- 17764-1068
- Phone
- (570) 923-2904
Authorized Official
- Name
- MINA-AYESHA A BLAIR, MSW, LSW
- Title
- DIRECTOR
- Phone
- (570) 923-2904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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