Organization
ARMSTRONG-INDIANA BEHAVIORAL AND DEVELOPMENTAL HEALTH PROGRAM
Active
Organization
ARMSTRONG-INDIANA BEHAVIORAL AND DEVELOPMENTAL HEALTH PROGRAM
Active
Other names
Armstrong-Indiana Mental Health/Mental Retardation Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KUEMMERLE ACSW, LCSW (ADMINISTRATOR)
(724) 548-3451
Entity
Organization
Contact information
Practice address
124 ARMSDALE RD, ARMSDALE ADMINISTRATION BUILDING SUITE 105, KITTANNING, PA 16201-3738
(724) 548-3451
(724) 548-3454
Mailing address
124 ARMSDALE RD, ARMSDALE ADMINISTRATION BUILDING SUITE 105, KITTANNING, PA 16201-3738
(724) 548-3451
(724) 548-3454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
441480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102215347
PROMISE ID
PA
Enumeration date
09/13/2011
Last updated
09/13/2011
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