| Sagewood, Inc. | |
|
63 N Main St Port Allegany PA 16743-1369 | |
| (814) 598-1101 | |
| Not Available |
| Full Name | Sagewood, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 63 N Main St, Port Allegany, Pennsylvania |
| Authorized Official Name and Position | Virginia Grace Fass (PRESIDENT) |
| Authorized Official Contact | 8143625579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagewood, Inc. Po Box 370 Bradford PA 16701-0370 Ph: (814) 362-5579 | Sagewood, Inc. 63 N Main St Port Allegany PA 16743-1369 Ph: (814) 598-1101 |
| NPI Number | 1417572785 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417572785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Alcohol & Drug Abuse Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Church St Ste 100, Port Allegany, PA 16743 Phone: 814-642-2910 Fax: 814-642-0725 |