| Clearfield Jefferson Drug And Alcohol Commission | |
|
104 Main Street Box 647 Falls Creek PA 15840-0647 | |
| (814) 371-9002 | |
| (814) 371-9055 |
| Full Name | Clearfield Jefferson Drug And Alcohol Commission |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Main Street, Falls Creek, Pennsylvania |
| Authorized Official Name and Position | Mary E. Lash (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8143719002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearfield Jefferson Drug And Alcohol Commission Po Box 647 Falls Creek PA 15840-0647 Ph: (814) 371-9002 | Clearfield Jefferson Drug And Alcohol Commission 104 Main Street Box 647 Falls Creek PA 15840-0647 Ph: (814) 371-9002 |
| NPI Number | 1700900503 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700900503 | NPI | - | NPPES |
| 101835590 0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Dovetail Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Main St, Falls Creek, PA 15840 Phone: 814-319-6764 |