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Organization
SAINT VINCENT SERENITY PROGRAM
Active
Organization
SAINT VINCENT SERENITY PROGRAM
Active
Parent organization
SAINT VINCENT HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT VINCENT HEALTH CENTER
Authorized official
MR. SCOTT A WHALEN PHD, FACHE (PRESIDENT & CEO)
(814) 452-5111
Entity
Organization
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 100, ERIE, PA 16502-2716
(814) 452-5555
Mailing address
1910 SASSAFRAS ST, SUITE 100, ERIE, PA 16502-2716
(814) 452-5555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
252013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801
HIGHMARK FACILITY NUMBER
PA
05
—
100162500039
—
PA
Enumeration date
11/17/2006
Last updated
06/08/2011
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