Provider Demographics
NPI:1669696555
Name:SOMERSET SINGLE COUNTY AUTHORITY
Entity type:Organization
Organization Name:SOMERSET SINGLE COUNTY AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-445-1522
Mailing Address - Street 1:300 N CENTER AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1499
Mailing Address - Country:US
Mailing Address - Phone:814-445-1530
Mailing Address - Fax:814-445-1524
Practice Address - Street 1:300 N CENTER AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1499
Practice Address - Country:US
Practice Address - Phone:814-445-1530
Practice Address - Fax:814-445-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health