Organization
BETHESDA CHILDRENS HOME/LSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD DICKSON (DIRECTOR OF FINANCE)
(814) 724-7510
Entity
Organization
Contact information
Practice address
15487 STATE HIGHWAY 86, MEADVILLE, PA 16335-5316
(814) 724-7510
(814) 724-8686
Mailing address
15487 STATE HIGHWAY 86, MEADVILLE, PA 16335-5316
(814) 724-7510
(814) 724-8686
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
458860
PA
Other
Enumeration date
11/02/2006
Last updated
04/17/2020
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