Organization Name: | TURTLE CREEK VALLEY MENTAL HEALTH MENTAL RETARDATION, INC. |
NPI Number: | 1942358510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCINE MARTIN-SAMBUCO (FAMILY & ADOLESCENT OUTPATIENT THER) |
Mailing Address: | 519 Penn Ave Suite 302 Turtle Creek |
State: | PA US |
Postal Code: | 151452082 |
Phone Number: | 4122256628 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |