| Nelson Behavioral Center, Inc. | |
|
102 Center St Ridgway PA 15853-1716 | |
| (814) 772-5546 | |
| (814) 772-0511 |
| Full Name | Nelson Behavioral Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 Center St, Ridgway, Pennsylvania |
| Authorized Official Name and Position | Mary S. Nelson (OWNER DIRECTOR) |
| Authorized Official Contact | 8147725546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Behavioral Center, Inc. 102 Center St Ridgway PA 15853-1716 Ph: (814) 772-5546 | Nelson Behavioral Center, Inc. 102 Center St Ridgway PA 15853-1716 Ph: (814) 772-5546 |
| NPI Number | 1760496913 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760496913 | NPI | - | NPPES |
| 1007290910002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PS015091 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Nelson Behavioral Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Center St, Ridgway, PA 15853 Phone: 814-772-5546 Fax: 814-772-0511 |