| Bethesda Childrens Home/lss | |
|
15487 State Highway 86 Meadville PA 16335-5316 | |
| (814) 724-7510 | |
| (814) 724-8686 |
| Full Name | Bethesda Childrens Home/lss |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 15487 State Highway 86, Meadville, Pennsylvania |
| Authorized Official Name and Position | Chad Dickson (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8147247510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Childrens Home/lss 15487 State Highway 86 Meadville PA 16335-5316 Ph: (814) 724-7510 | Bethesda Childrens Home/lss 15487 State Highway 86 Meadville PA 16335-5316 Ph: (814) 724-7510 |
| NPI Number | 1922186352 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922186352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 458860 (Pennsylvania) | Primary |
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