Provider Demographics
NPI:1528494291
Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SNEDDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:814-553-1180
Mailing Address - Street 1:85 LINGLE ST
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16666-1702
Mailing Address - Country:US
Mailing Address - Phone:814-553-1180
Mailing Address - Fax:
Practice Address - Street 1:85 LINGLE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA MILLS
Practice Address - State:PA
Practice Address - Zip Code:16666-1702
Practice Address - Country:US
Practice Address - Phone:814-553-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health