Organization
CHARCOAL AND GREY INC.
Active
Other names
Charcoal and Grey
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT SCHUMANN (DIRECTOR)
(814) 688-6166
Entity
Organization
Contact information
Practice address
116 MUIR ST APT 103, WARREN, PA 16365-3040
(814) 688-6166
Mailing address
116 MUIR ST APT 103, WARREN, PA 16365-3040
(814) 688-6166
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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