Clarion County Mh Mr D A | |
214 S 7th Ave Clarion PA 16214-2053 | |
(814) 226-6252 | |
Not Available |
Full Name | Clarion County Mh Mr D A |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 214 S 7th Ave, Clarion, Pennsylvania |
Authorized Official Name and Position | Evan R Dittman (ADMINISTRATOR) |
Authorized Official Contact | 8142266252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clarion County Mh Mr D A 214 S 7th Ave Clarion PA 16214-2053 Ph: (814) 226-6252 | Clarion County Mh Mr D A 214 S 7th Ave Clarion PA 16214-2053 Ph: (814) 226-6252 |
NPI Number | 1609066810 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 07/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609066810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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