| |
13 Westwood Road Pottsville PA 17901 | |
(570) 628-0466 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 13 Westwood Road, Pottsville, Pennsylvania |
Authorized Official Name and Position | Helen P. Kelleher (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6107913888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1720 W Market St Pottsville PA 17901-2141 Ph: (570) 628-0466 | 13 Westwood Road Pottsville PA 17901 Ph: (570) 628-0466 |
NPI Number | 1396911665 |
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Provider Enumeration Date | 05/06/2008 |
Last Update Date | 02/19/2009 |
Identifier | Type | State | Issuer |
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1396911665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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