Provider Demographics
NPI:1992922546
Name:MERCER COUNTY BHC
Entity type:Organization
Organization Name:MERCER COUNTY BHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
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 ROAD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137
Mailing Address - Country:US
Mailing Address - Phone:724-662-1550
Mailing Address - Fax:
Practice Address - Street 1:8406 SHARON-MERCER ROAD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137
Practice Address - Country:US
Practice Address - Phone:724-662-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management