Organization
BLACKBURN CENTER AGAINST DOMESTIC & SEXUAL VIOLENCE
Active
Other names
Blackburn Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN M EMMERLING (EXECUTIVE DIRECTOR)
(724) 837-9540
Entity
Organization
Contact information
Practice address
1011 OLD SALEM RD STE 202, GREENSBURG, PA 15601-1095
(724) 837-9540
(724) 837-3676
Mailing address
PO BOX 398, GREENSBURG, PA 15601-0398
(724) 837-9540
(724) 837-3676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC001418
PA
101Y00000X
Counselor
PC002628
PA
1041C0700X
Clinical Social Worker
Primary
CW010211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465130
—
PA
Enumeration date
01/26/2010
Last updated
01/26/2010
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