| Blended Spirits Ranch | |
|
7401 Mccray Rd Fairview PA 16415-2401 | |
| (814) 449-5657 | |
| Not Available |
| Full Name | Blended Spirits Ranch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7401 Mccray Rd, Fairview, Pennsylvania |
| Authorized Official Name and Position | Sandra Long (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8144495657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blended Spirits Ranch 7401 Mccray Rd Fairview PA 16415-2401 Ph: (814) 449-5657 | Blended Spirits Ranch 7401 Mccray Rd Fairview PA 16415-2401 Ph: (814) 449-5657 |
| NPI Number | 1538624879 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538624879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Encompass Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Manchester Rd, Fairview, PA 16415 Phone: 814-838-4822 Fax: 814-833-8536 |