Organization
BEAVER COUNTY MH MR - D&A PROGRAM
Active
Other names
Beaver County Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD MIKE (ADMINISTRATOR)
(724) 847-6225
Entity
Organization
Contact information
Practice address
1040 8TH AVE, HUMAN SERVICES BUILDING, FLOOR 2, BEAVER FALLS, PA 15010-4506
(724) 847-6225
(724) 891-2865
Mailing address
1040 8TH AVE, HUMAN SERVICES BUILDING, FLOOR 2, BEAVER FALLS, PA 15010-4506
(724) 847-6225
(724) 891-2865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007583980013
—
PA
Enumeration date
04/12/2007
Last updated
08/22/2020
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