Provider Demographics
NPI:1679876668
Name:MENTAL HEALTH ASSOCIATION IN BEAVER COUNTY
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION IN BEAVER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW/LSW
Authorized Official - Phone:724-775-4165
Mailing Address - Street 1:105 BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:15074-2203
Mailing Address - Country:US
Mailing Address - Phone:724-775-4165
Mailing Address - Fax:724-775-8523
Practice Address - Street 1:105 BRIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:PA
Practice Address - Zip Code:15074-2203
Practice Address - Country:US
Practice Address - Phone:724-775-4165
Practice Address - Fax:724-775-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable