Organization
HERMITAGE HOUSE YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ICKES (DIRECTOR OF FINANCE)
(814) 734-4951
Entity
Organization
Contact information
Practice address
25493 STATE HIGHWAY 99, CAMBRIDGE SPRINGS, PA 16403-2329
(814) 734-4951
Mailing address
25493 STATE HIGHWAY 99, CAMBRIDGE SPRINGS, PA 16403-2329
(814) 734-4951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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