| Jan Davis-mars Home For Youth | |
|
521 Route 228 Mars PA 16046-3123 | |
| (724) 625-3141 | |
| Not Available |
| Full Name | Jan Davis-mars Home For Youth |
|---|---|
| Speciality | Counselor - Professional |
| Location | 521 Route 228, Mars, Pennsylvania |
| Authorized Official Name and Position | Steven T Green (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Contact | 7246253141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Davis-mars Home For Youth 521 Route 228 Mars PA 16046-3123 Ph: () - | Jan Davis-mars Home For Youth 521 Route 228 Mars PA 16046-3123 Ph: (724) 625-3141 |
| NPI Number | 1376664250 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376664250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC002428 (Pennsylvania) | Primary |
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