Organization
MENTAL HEALTH ASSOCIATION
Active
Organization
MENTAL HEALTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE M SIMMS (FISCAL TECHNICIAN)
(724) 225-2061
Entity
Organization
Contact information
Practice address
225 SPRING ST, BENTLEYVILLE, PA 15314-1252
(724) 239-3993
(724) 239-3997
Mailing address
15 S COLLEGE ST, WASHINGTON, PA 15301-4821
(724) 225-2061
(724) 225-4770
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
424660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101722148 0004
PROMISE ID
PA
01
—
582217
VALUE OPTIONS PROVIDER NUMBER
PA
Enumeration date
05/19/2008
Last updated
05/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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