| Clarvida | |
|
210 S Centre St Pottsville PA 17901-3501 | |
| (570) 628-5215 | |
| Not Available |
| Full Name | Clarvida |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 210 S Centre St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Tim Sohosky (C.O.O.) |
| Authorized Official Contact | 5706285215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 210 S Centre St Pottsville PA 17901-3501 Ph: (570) 628-5215 | Clarvida 210 S Centre St Pottsville PA 17901-3501 Ph: (570) 628-5215 |
| NPI Number | 1033289764 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033289764 | NPI | - | NPPES |
| 1000017170169 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 203110 (Pennsylvania) | Primary |
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