Organization
HUMAN SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A STOCKDALE (DIRECTOR OF FINANCE)
(724) 658-3578
Entity
Organization
Contact information
Practice address
130 W NORTH ST, NEW CASTLE, PA 16101-3906
(724) 658-3578
(724) 656-1325
Mailing address
130 W NORTH ST, NEW CASTLE, PA 16101-3906
(724) 658-3578
(724) 656-1325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
442820
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
442820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100756268
—
PA
01
—
442820
CERTIFICATE OF COMPLIANCE
PA
Enumeration date
02/01/2011
Last updated
02/01/2011
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