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Organization

CENTERVILLE CLINICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR FINANCE AND PERSONNEL)
(724) 632-6801
Entity
Organization

Contact information

Practice address
179 CRAWFORD RD, FREDERICKTOWN, PA 15333-2011
(724) 267-4919
(724) 267-4907
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
328834A859670
VALUE BEHAVIORAL HEALTH
PA
01
422450
CERTIFICATE OF COMPLIANCE
PA
05
APPLYING
PA
Enumeration date
02/04/2008
Last updated
06/20/2013
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