Provider Demographics
NPI:1710592910
Name:MERCER COUNTY BEHAVIORAL HEALTH COMMISSION
Entity Type:Organization
Organization Name:MERCER COUNTY BEHAVIORAL HEALTH COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HETRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-662-1550
Mailing Address - Street 1:8406 SHARON MERCER RD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-3138
Mailing Address - Country:US
Mailing Address - Phone:724-662-1550
Mailing Address - Fax:724-662-1557
Practice Address - Street 1:8406 SHARON MERCER RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-3138
Practice Address - Country:US
Practice Address - Phone:724-662-1550
Practice Address - Fax:724-662-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management