| Western Clinton County Community Services | |
|
425 Saint Clair Ave Renovo PA 17764-1068 | |
| (570) 923-2904 | |
| Not Available |
| Full Name | Western Clinton County Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 Saint Clair Ave, Renovo, Pennsylvania |
| Authorized Official Name and Position | Mina-ayesha A Blair (DIRECTOR) |
| Authorized Official Contact | 5709232904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Clinton County Community Services 425 Saint Clair Ave Po Box 462 Renovo PA 17764-1068 Ph: (570) 923-2904 | Western Clinton County Community Services 425 Saint Clair Ave Renovo PA 17764-1068 Ph: (570) 923-2904 |
| NPI Number | 1518170455 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518170455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Andrea Rose Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 Huron Ave, Renovo, PA 17764 Phone: 570-800-2288 Fax: 570-531-1144 |