Organization
RENEWED HOPE BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ZULOVICH D.O. (OWNER)
(724) 458-0811
Entity
Organization
Contact information
Practice address
15 WOODLAND CENTER DR, GROVE CITY, PA 16127-4677
(724) 458-0811
Mailing address
PO BOX 348, GROVE CITY, PA 16127-0348
(724) 458-0811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW013618L
PA
1041C0700X
Clinical Social Worker
CW012617
PA
2084P0800X
Psychiatry Physician
Primary
OS008623L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014943530011
—
PA
Enumeration date
05/22/2006
Last updated
05/30/2008
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