Provider Demographics
NPI:1528459708
Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:CRISSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-726-4306
Mailing Address - Street 1:25 ROTHERMEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILL HALL
Mailing Address - State:PA
Mailing Address - Zip Code:17751
Mailing Address - Country:US
Mailing Address - Phone:570-726-4306
Mailing Address - Fax:570-726-4082
Practice Address - Street 1:25 ROTHERMEL DRIVE
Practice Address - Street 2:
Practice Address - City:MILL HALL
Practice Address - State:PA
Practice Address - Zip Code:17751
Practice Address - Country:US
Practice Address - Phone:570-726-4306
Practice Address - Fax:570-726-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN298528283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital