| Family Base | |
|
190 Match Factory Place Bellefonte PA 16823-1302 | |
| (814) 353-1487 | |
| Not Available |
| Full Name | Family Base |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 190 Match Factory Place, Bellefonte, Pennsylvania |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Base 132 The Meadows Dr Centre Hall PA 16828-9231 Ph: (814) 436-2161 | Family Base 190 Match Factory Place Bellefonte PA 16823-1302 Ph: (814) 353-1487 |
| NPI Number | 1740420389 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740420389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 306260 (Pennsylvania) | Primary |
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