Organization
NELSON BEHAVIORAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY S. NELSON PHD (OWNER DIRECTOR)
(814) 772-5546
Entity
Organization
Contact information
Practice address
102 CENTER ST, RIDGWAY, PA 15853-1716
(814) 772-5546
(814) 772-0511
Mailing address
102 CENTER ST, RIDGWAY, PA 15853-1716
(814) 772-5546
(814) 772-0511
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS015091
PA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007290910002
—
PA
Enumeration date
07/27/2006
Last updated
09/30/2009
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