Organization
DEERFIELD BEHAVIORAL HEALTH OF WARREN
Active
Other names
Deerfield Centers for Addictions Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CARY (EX DIR)
(814) 723-5545
Entity
Organization
Contact information
Practice address
623 ELM ST, TIONESTA, PA 16353-8803
(888) 893-3228
Mailing address
1003 PENNSYLVANIA AVE W FL 2, WARREN, PA 16365-1876
(814) 723-5545
(814) 362-5245
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
627027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015930840012
—
PA
01
—
0828
HIGHMARK BLUE CROSS
PA
01
—
330194
VALUE OPTIONS
PA
Enumeration date
03/06/2007
Last updated
10/05/2020
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