Organization
BEAVER COUNTY MH MR DRUG & ALCOHOL PROGRAM
Active
Organization
BEAVER COUNTY MH MR DRUG & ALCOHOL PROGRAM
Active
Other names
Beaver County Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD MIKE (ADMINISTRATOR)
(724) 847-6225
Entity
Organization
Contact information
Practice address
1040 8TH AVE, BEAVER FALLS, PA 15010-4506
(724) 847-6225
Mailing address
1040 8TH AVE, BEAVER FALLS, PA 15010-4506
(724) 847-6225
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007583980002
—
PA
05
—
1007583980006
—
PA
05
—
1007583980017
—
PA
05
—
1007583980023
—
PA
05
—
1007583980031138
—
PA
Enumeration date
01/05/2007
Last updated
04/06/2009
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