Organization
CENTERVILLE CLINICS, INC.
Active
Organization
CENTERVILLE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR FINANCE PERSONNEL)
(724) 632-6801
Entity
Organization
Contact information
Practice address
75 BEARCAT DR, BENTLEYVILLE, PA 15314-1421
(724) 632-6801
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
438860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438860
CERTIFICATE OF COMPLIANCE
PA
Enumeration date
09/09/2011
Last updated
09/09/2011
Update your record
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