Organization
MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RENEE LYNN CASSELBURY (BUSINESS MANAGER)
(570) 265-2525
Entity
Organization
Contact information
Practice address
21 MAIN ST, TOWANDA, PA 18848-1803
(570) 265-2525
(570) 265-1075
Mailing address
21 MAIN ST, TOWANDA, PA 18848-1803
(570) 265-2525
(570) 265-1075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
087021
PA
101YM0800X
Mental Health Counselor
—
—
251K00000X
Public Health or Welfare Agency
087021
PA
251K00000X
Public Health or Welfare Agency
087022
PA
251S00000X
Community/Behavioral Health Agency
087021
PA
261Q00000X
Clinic/Center
Primary
087021
PA
261Q00000X
Clinic/Center
087022
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
087021
PA
261QM0850X
Adult Mental Health Clinic/Center
087021
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
087021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007444270008
—
PA
Enumeration date
11/13/2006
Last updated
03/09/2011
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