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Organization

BROOKVILLE BEHAVIORAL HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD FLOYD PARK JR. (CEO)
(814) 371-1088
Entity
Organization

Contact information

Practice address
3 S BRADY ST STE 205, DU BOIS, PA 15801-2159
(814) 371-1088
(814) 371-4966
Mailing address
3 S BRADY ST STE 205, DU BOIS, PA 15801-2159
(814) 371-1088
(814) 371-4966

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
423220
PA
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/06/2006
Last updated
11/13/2020
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