Organization
CLARION COUNTY MH MR D A
Active
Parent organization
CLARION COUNTY MH MR D A
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARION COUNTY MH MR D A
Authorized official
EVAN R DITTMAN (ADMINISTRATOR)
(814) 226-6252
Entity
Organization
Contact information
Practice address
214 S 7TH AVE, CLARION, PA 16214-2053
(814) 226-6252
Mailing address
214 S 7TH AVE, CLARION, PA 16214-2053
(814) 226-6252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
07/26/2007
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