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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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