Organization
REGIONAL COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY TERESA AYLESWORTH MA (EXECUTIVE DIRECTOR)
(814) 676-5614
Entity
Organization
Contact information
Practice address
815 GRANDVIEW RD, OIL CITY, PA 16301-2077
(814) 676-5614
(814) 677-5760
Mailing address
815 GRANDVIEW RD, P.O. BOX 886, OIL CITY, PA 16301-2077
(814) 676-5614
(814) 677-5760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
422710
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000032570011
—
PA
Enumeration date
03/05/2007
Last updated
08/22/2020
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