Organization
CENTERVILLE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR FINANCE PERSONNEL)
(724) 632-6801
Entity
Organization
Contact information
Practice address
200 CHAMBER PLZ, CHARLEROI, PA 15022-1605
(724) 483-3081
(724) 483-5856
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440097
—
PA
01
—
328834A336351
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
01/11/2008
Last updated
05/30/2012
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