| Saint Vincent Serenity Program | |
|
1910 Sassafras St Suite 100 Erie PA 16502-2716 | |
| (814) 452-5555 | |
| Not Available |
| Full Name | Saint Vincent Serenity Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1910 Sassafras St, Erie, Pennsylvania |
| Authorized Official Name and Position | Scott A Whalen (PRESIDENT & CEO) |
| Authorized Official Contact | 8144525111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Vincent Serenity Program 1910 Sassafras St Suite 100 Erie PA 16502-2716 Ph: (814) 452-5555 | Saint Vincent Serenity Program 1910 Sassafras St Suite 100 Erie PA 16502-2716 Ph: (814) 452-5555 |
| NPI Number | 1184797961 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184797961 | NPI | - | NPPES |
| 0801 | Other | PA | HIGHMARK FACILITY NUMBER |
| 100162500039 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 252013 (Pennsylvania) | Primary |
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