Organization
HUMAN SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A STOCKDALE CPA (CHIEF FINANCIAL OFFICER)
(724) 658-3578
Entity
Organization
Contact information
Practice address
130 WEST NORTH STREET, NEW CASTLE, PA 16101-3906
(724) 658-3578
(724) 656-1325
Mailing address
130 WEST NORTH STREET, NEW CASTLE, PA 16101-3906
(724) 658-3578
(724) 656-1325
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00648155
HIGHMARK
PA
01
—
00736433
AETNA
PA
05
—
1007562680004
—
PA
Enumeration date
04/14/2006
Last updated
05/01/2015
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