Centre County Mh-Id-Ei/d&a
NPI #1902026099 in State College, Pennsylvania
Provider Information
- NPI Number
- 1902026099
- Entity Type
- Organization
- Organization Name
- Centre County Mh-Id-Ei/d&a
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 30, 2007
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 3500 E COLLEGE AVE
- Address 2
- SUITE 1200
- City
- State College
- State
- Pennsylvania
- ZIP Code
- 16801-7569
- Phone
- (814) 355-6782
Authorized Official
- Name
- THOMAS J MCDERMOTT
- Title
- ADMINISTRATOR
- Phone
- (814) 355-6782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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