National Provider Identifier Database

DEERFIELD BEHAVIORAL HEALTH OF WARREN
Rehabilitation, Substance Use Disorder


Contact Information

DEERFIELD BEHAVIORAL HEALTH OF WARREN
CHESTNUT STREET
MARIENVILLE MEDICAL CENTER
MARIENVILLE, PA16239
Phone: 888-893-3228
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for DEERFIELD BEHAVIORAL HEALTH OF WARREN

NPI Number 1477684264
Legal business name
LBN
DEERFIELD BEHAVIORAL HEALTH OF WARREN
Authorized official TINA CARY - (EX DIR)
Entity Organization
Organization subpart No
Enumeration date 03/07/2007
Last updated 10/05/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 627026
  • PA Medicaid: 0015930840010
  • PA Other: 0828 HIGHMARK BLUE CROSS
  • PA Other: 330194 VALUE OPTIONS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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