| Organization Name: | CLEARFIELD JEFFERSON CMHC |
| NPI Number: | 1144492158 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER ALBRIGHT (BILLING SUPERVISOR) |
| Mailing Address: | 100 Caldwell Dr Du Bois |
| State: | PA US |
| Postal Code: | 158011152 |
| Phone Number: | 7244655576 |
| Fax Number: | 7244656379 |
| NPI Enumeration Date: | 03/31/2008 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |