Centerville Clinics INC

NPI #1558969741 in Washington, Pennsylvania

Provider Information

NPI Number: 1558969741
Entity Type: Organization
Organization Name: Centerville Clinics INC
Primary Specialty: Specialist
Enumeration Date: Oct 12, 2020
Last Updated: Oct 12, 2020

Practice Location

Address: CENTERVILLE CLINICS-INTENSIVE BEHAVIORAL HEALTH SERVICE
Address 2: 37 HIGHLAND AVENUE
City: Washington
State: Pennsylvania
ZIP Code: 15301-4062
Phone: (724) 223-1067

Authorized Official

Name: MR. BARRY R NICCOLAI
Title: EXECUTIVE DIRECTOR
Phone: (724) 635-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Specialist	174400000X	Primary

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