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Organization

COUNTY OF MONTGOMERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICE CLAYTON WATTS (MIS DIRECTOR)
(610) 278-3642
Entity
Organization

Contact information

Practice address
1430 DEKALB ST, HSC MHMR, NORRISTOWN, PA 19401-3406
(610) 278-3642
(610) 278-3683
Mailing address
1430 DEKALB ST, P.O. BOX 311 HSC MHMR, NORRISTOWN, PA 19401-3406

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000072290023
PA
Enumeration date
04/11/2007
Last updated
09/11/2025
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