Organization
CENTERVILLE CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY R NICCOLAI (EXECUTIVE DIRECTOR)
(724) 632-6801
Entity
Organization
Contact information
Practice address
PLEASANT VALLEY ELEMENTARY SCHOOL, 250 EAST MCMURRAY ROAD, MCMURRAY, PA 15317
(724) 941-6260
(724) 941-0708
Mailing address
CENTERVILLE CLINICS INC, 1070 OLD NATIONAL PIKE ROAD, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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