Provider Demographics
NPI:1326475161
Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Other - Org Name:THE MEADOWS
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINCIAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:814-342-8090
Mailing Address - Street 1:110 WALTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILIPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16866-2526
Mailing Address - Country:US
Mailing Address - Phone:814-342-8090
Mailing Address - Fax:
Practice Address - Street 1:110 WALTON ST
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-2526
Practice Address - Country:US
Practice Address - Phone:814-342-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health