# BETHESDA CHILDRENS HOME/LSS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922186352
- **Authorized official:** MR. CHAD DICKSON (DIRECTOR OF FINANCE)
- **Authorized official phone:** (814) 724-7510

## Contact information

- **Practice address:** 15487 STATE HIGHWAY 86, MEADVILLE, PA 16335-5316
- **Practice address phone:** (814) 724-7510
- **Practice address fax:** (814) 724-8686
- **Mailing address:** 15487 STATE HIGHWAY 86, MEADVILLE, PA 16335-5316
- **Mailing address phone:** (814) 724-7510
- **Mailing address fax:** (814) 724-8686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 458860 | PA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 04/17/2020