Organization Name: | SHARON REGIONAL HBP MEDICAL GROUP LLC |
NPI Number: | 1033515960 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES PATRICK WRIGHT (SR. DIRECTOR) |
Mailing Address: | 740 E State St Sharon |
State: | PA US |
Postal Code: | 161463328 |
Phone Number: | 7249833950 |
Fax Number: | 7249835419 |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |