| Centerville Clinics, Inc. Psy | |
|
190 Bonar Ave Waynesburg PA 15370-1604 | |
| (724) 627-8156 | |
| Not Available |
| Full Name | Centerville Clinics, Inc. Psy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 190 Bonar Ave, Waynesburg, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR FIINANCE AND PERSONNEL) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics, Inc. Psy 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics, Inc. Psy 190 Bonar Ave Waynesburg PA 15370-1604 Ph: (724) 627-8156 |
| NPI Number | 1679748594 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679748594 | NPI | - | NPPES |
| 1804928 | Other | PA | HIGHMARK BLUE SHIELD |
| 1007288440088 | Medicaid | PA | |
| 328834A336348 | Other | PA | VALUE BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Pennsylvania) | Primary |
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