Provider Demographics
NPI:1518299395
Name:REGIONAL BEHAVIORAL CONSULTANTS, INC.
Entity Type:Organization
Organization Name:REGIONAL BEHAVIORAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECCRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-301-8221
Mailing Address - Street 1:16285 CONNEAUT LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3845
Mailing Address - Country:US
Mailing Address - Phone:814-336-2848
Mailing Address - Fax:814-336-2849
Practice Address - Street 1:16285 CONNEAUT LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3845
Practice Address - Country:US
Practice Address - Phone:814-336-2848
Practice Address - Fax:814-336-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009846840001Medicaid