Organization
TWIN LAKES CENTER INC
Active
Other names
UPMC Behavioral Health Services at Twin Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CANNON (DIRECTOR, CLINICAL SERVICES)
(814) 443-3639
Entity
Organization
Contact information
Practice address
224 TWIN LAKES ROAD, SOMERSET, PA 15501-7727
(814) 443-3639
(814) 443-2737
Mailing address
224 TWIN LAKES ROAD, SOMERSET, PA 15501-7727
(814) 443-3639
(814) 443-2737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
561089
PA
261Q00000X
Clinic/Center
117037
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
051089
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
561089
PA
324500000X
Substance Abuse Rehabilitation Facility
561089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773311
—
PA
05
—
1007733110004
—
PA
01
—
103501
UPMC
PA
01
—
327974
VALUE OPTIONS
PA
Enumeration date
02/23/2006
Last updated
07/15/2022
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