NPI | 1952421968 |
---|---|
Doing Business As | COVE FORGE BHS (ERIE-OUTPATIENT) |
Entity Type | Organization |
Authorized Contact | TOM CALLAHAN Regional Vice President 800-873-2131 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 257052) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 00257052) |
251S00000X (Licence: PA 00257052) | |
Enumeration Date | 2007-03-31 |
Last Update Date | 2015-09-20 |