Organization
CENTRE COUNTY MH-ID-EI/D&A
Active
Organization
CENTRE COUNTY MH-ID-EI/D&A
Active
Other names
TSM
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J MCDERMOTT (ADMINISTRATOR)
(814) 355-6782
Entity
Organization
Contact information
Practice address
3500 E COLLEGE AVE, SUITE 1200, STATE COLLEGE, PA 16801-7569
(814) 355-6786
(814) 355-6985
Mailing address
3500 E COLLEGE AVE, SUITE 1200, STATE COLLEGE, PA 16801-7569
(814) 355-6786
(814) 355-6985
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007296630004
—
PA
Enumeration date
11/16/2005
Last updated
10/06/2015
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