Organization
CENTERVILLE CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY R NICCOLAI (EXECUTIVE DIRECTOR)
(724) 635-6801
Entity
Organization
Contact information
Practice address
CENTERVILLE CLINICS-INTENSIVE BEHAVIORAL HEALTH SERVICE, 37 HIGHLAND AVENUE, WASHINGTON, PA 15301-4062
(724) 223-1067
(724) 223-1088
Mailing address
CENTERVILLE CLINICS INC, 1070 OLD NATIONAL PIKE ROAD, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440027
—
PA
Enumeration date
10/12/2020
Last updated
10/12/2020
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