Organization
TWIN LAKES CENTER INC
Active
Other names
UPMC Behavioral Health Services at Twin Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CANNON (DIRECTOR, CLINICAL SERVICES)
(814) 443-3639
Entity
Organization
Contact information
Practice address
223 S PLEASANT AVENUE, SUITE 102, SOMERSET, PA 15501-2196
(814) 443-3639
(814) 443-2737
Mailing address
224 TWIN LAKES ROAD, SOMERSET, PA 15501-7727
(814) 443-3639
(814) 443-2737
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773311
—
PA
Enumeration date
07/15/2022
Last updated
07/15/2022
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