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Organization
CLARION CO MH MR DRUG & ALCOHOL
Active
Organization
CLARION CO MH MR DRUG & ALCOHOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN R DITTMAN (MH MR DRUG & ALCOHOL ADMINISTRATOR)
(814) 226-6252
Entity
Organization
Contact information
Practice address
214 S 7TH AVE, CLARION, PA 16214-2053
(814) 226-6252
(814) 226-8564
Mailing address
214 S 7TH AVE, CLARION, PA 16214-2053
(814) 226-6252
(814) 226-8564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/04/2006
Last updated
09/11/2025
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