Organization
FAMILY SERVICES OF WARREN COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HOLT (EXECUTIVE DIRECTOR)
(814) 723-1330
Entity
Organization
Contact information
Practice address
589 HOSPITAL DR, E, WARREN, PA 16365-4875
(814) 723-1330
Mailing address
589 HOSPITAL DR, E, WARREN, PA 16365-4875
(814) 723-1330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
PS005684L
PA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007320880001
—
PA
05
—
1007320880002
—
PA
Enumeration date
08/11/2006
Last updated
03/12/2020
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