Organization
SAINT VINCENT SERENITY PROGRAM
Active
Parent organization
SAINT VINCENT HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT VINCENT HEALTH CENTER
Authorized official
MR. SCOTT A WHALEN PHD, FACHE (PRESIDENT & CEO)
(814) 452-5111
Entity
Organization
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 100, ERIE, PA 16502-2716
(814) 452-5555
Mailing address
1910 SASSAFRAS ST, SUITE 100, ERIE, PA 16502-2716
(814) 452-5555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
252013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801
HIGHMARK FACILITY NUMBER
PA
05
—
100162500039
—
PA
Enumeration date
11/17/2006
Last updated
06/08/2011
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