Organization
JAN DAVIS-MARS HOME FOR YOUTH
Active
Organization
JAN DAVIS-MARS HOME FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN T GREEN (DIRECTOR OF DEVELOPMENT)
(724) 625-3141
Entity
Organization
Contact information
Practice address
521 ROUTE 228, MARS, PA 16046-3123
(724) 625-3141
Mailing address
521 ROUTE 228, MARS, PA 16046-3123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002428
PA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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