NPI 1225193030

Glade Run Lutheran Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Zelienople, PA

Practice location

Address: Beaver Road, Zelienople, PA 16063-0070
Phone: (724) 452-4453
Fax: (724) 452-6576
Mailing address: PO Box 70, Zelienople, PA 16063-0070

Authorised official

Name: Charles T. Lockwood
Title: Executive Director
Phone: (724) 452-4453

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 414650 (PA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Pennsylvania →

Registry record

NPI: 1225193030
Entity type: Organization
NPI issued: 22 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.