Organization
MCAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BODIEN (IT DIRECTOR)
(724) 981-2950
Entity
Organization
Contact information
Practice address
850 N HERMITAGE RD, HERMITAGE, PA 16148-3220
(724) 981-2950
(724) 981-1877
Mailing address
850 N HERMITAGE RD, HERMITAGE, PA 16148-3220
(724) 981-2950
(724) 981-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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