D&a Targeted Case Management | |
112 Hillvue Drive Butler PA 16001-3498 | |
(724) 287-0791 | |
(724) 287-2730 |
Full Name | D&a Targeted Case Management |
---|---|
Speciality | Community/behavioral Health |
Location | 112 Hillvue Drive, Butler, Pennsylvania |
Authorized Official Name and Position | Roger Kelly (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7242870791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
D&a Targeted Case Management 112 Hillvue Drive Butler PA 16001-3498 Ph: (724) 287-0791 | D&a Targeted Case Management 112 Hillvue Drive Butler PA 16001-3498 Ph: (724) 287-0791 |
NPI Number | 1144405960 |
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Provider Enumeration Date | 12/31/2007 |
Last Update Date | 12/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144405960 | NPI | - | NPPES |
100003515 0114 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 101013 (Pennsylvania) | Primary |
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Medicare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Hillvue Drive, Butler, PA 16001 Phone: 724-287-0791 Fax: 724-287-2730 | |
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