Clearfield-jefferson Mhmr Program

NPI 1053476879 - Case Management - 251B00000X

NPI Details
NPI 1053476879
Enumeration Date 12/22/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name COLETTE COLETTE
Position ADMINISTRATOR
Phone (814) 265-1060
Fax (814) 265-1049
Practice Location
1200 WOOD ST STE U110
BROCKWAY PA, 15824-2118, US
Phone (814) 265-1060
Fax (814) 265-1049
Business Location
1200 WOOD ST STE U110
BROCKWAY PA, 15824-2118, US
Phone (814) 265-1060
Fax (814) 265-1049
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Clearfield-jefferson Mhmr Program NPI is 1053476879, taxonomy code is 251B00000X Clearfield-jefferson Mhmr Program physically located at 1200 Wood St Ste U110, Brockway PA, 15824-2118. NPI Number 1033115704 has the healthcare provider type.

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1053476879 NPI number is provided on an as is basis without warranty of any kind. 1053476879 is maintained by the National Plan & Provider Enumeration System. The contents of Clearfield-jefferson Mhmr Program are for informational purposes only.