| Charcoal And Grey Inc. | |
|
116 Muir St Apt 103 Warren PA 16365-3040 | |
| (814) 688-6166 | |
| Not Available |
| Full Name | Charcoal And Grey Inc. |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 116 Muir St Apt 103, Warren, Pennsylvania |
| Authorized Official Name and Position | Herbert Schumann (DIRECTOR) |
| Authorized Official Contact | 8146886166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charcoal And Grey Inc. 116 Muir St Apt 103 Warren PA 16365-3040 Ph: (814) 688-6166 | Charcoal And Grey Inc. 116 Muir St Apt 103 Warren PA 16365-3040 Ph: (814) 688-6166 |
| NPI Number | 1912743345 |
|---|---|
| Provider Enumeration Date | 07/04/2024 |
| Last Update Date | 07/04/2024 |
| Certification Date | 07/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912743345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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