Organization Name: | RURAL MENTAL HEALTH ASSOCIATES INC |
NPI Number: | 1649202094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN BOYER DRELICK (PRESIDENT) |
Mailing Address: | 19 Central Ave 3rd Floor Oil City |
State: | PA US |
Postal Code: | 163012733 |
Phone Number: | 8146786900 |
Fax Number: | 8146786902 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS005971L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |