Organization
CENTERVILLE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL/FINANCE)
(724) 632-6801
Entity
Organization
Contact information
Practice address
150 BEARCAT DR, BENTLEYVILLE, PA 15314-1463
(724) 239-3606
(724) 239-3205
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728844
—
PA
01
—
328834
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
08/27/2013
Last updated
08/27/2013
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