Organization Name: | CONNELLSVILLE COUNSELING CENTER, INC |
NPI Number: | 1386916435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLE G STERN (CEO) |
Mailing Address: | 110 S Arch St Connellsville |
State: | PA US |
Postal Code: | 154253515 |
Phone Number: | 7246269941 |
Fax Number: | 7246262785 |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |