Behavioral Consultation Team | |
112 Hillvue Drive Butler PR 16001-3498 | |
(724) 287-0791 | |
(724) 287-2730 |
Full Name | Behavioral Consultation Team |
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Speciality | Community/behavioral Health |
Location | 112 Hillvue Drive, Butler, Puerto Rico |
Authorized Official Name and Position | Roger Kelly (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7242870791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Consultation Team 112 Hillvue Drive Butler PR 16001-3498 Ph: (724) 287-0791 | Behavioral Consultation Team 112 Hillvue Drive Butler PR 16001-3498 Ph: (724) 287-0791 |
NPI Number | 1518142249 |
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Provider Enumeration Date | 12/31/2007 |
Last Update Date | 12/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518142249 | NPI | - | NPPES |
100003515 0119 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | COUNTY APPROVAL (Pennsylvania) | Primary |