Organization
CENTERVILLE CLINICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY MARTOS (DIRECTOR FINANCE PERSONNEL)
(724) 632-6801
Entity
Organization
Contact information
Practice address
208 S ARCH ST, CONNELLSVILLE, PA 15425-3519
(724) 626-2630
(724) 626-2655
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440094
—
PA
01
—
328834A336347
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
04/17/2007
Last updated
03/06/2008
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