Organization
TWIN LAKES CENTER, INC.
Active
Organization
TWIN LAKES CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE MCKENZIE LCSW (EXECUTIVE DIRECTOR)
(814) 443-3639
Entity
Organization
Contact information
Practice address
224 TWIN LAKE RD, SOMERSET, PA 15501-7727
(814) 443-3639
Mailing address
224 TWIN LAKE RD, PO BOX 909, SOMERSET, PA 15501-7727
(814) 443-3639
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
561089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773311
—
PA
Enumeration date
05/27/2010
Last updated
07/27/2017
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