Organization
OUTSIDE IN SCHOOL OF EXPERIENTIAL EDUCATION
Active
Organization
OUTSIDE IN SCHOOL OF EXPERIENTIAL EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIEN CAMERON (FINANCIAL TECHNICIAN MANAGER)
(724) 238-8441
Entity
Organization
Contact information
Practice address
196 HAMILL SCHOOL RD, BOLIVAR, PA 15923-2525
(724) 238-8441
Mailing address
196 HAMILL SCHOOL RD, BOLIVAR, PA 15923-2525
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
657050
PA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/12/2008
Last updated
09/12/2022
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