NPI 1518142249

Irene Stacy Cmhc

Organisation Community/Behavioral Health Agency Butler, PR

Practice location

Address: 112 Hillvue Drive, Butler, PR 16001-3498
Phone: (724) 287-0791
Fax: (724) 287-2730

Authorised official

Name: Roger Kelly
Title: Executive Director
Phone: (724) 287-0791

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence COUNTY APPROVAL (PA)

Other Community/Behavioral Health providers in Puerto Rico →

Registry record

NPI: 1518142249
Entity type: Organization
NPI issued: 31 Dec 2007
Record last updated: 31 Dec 2007

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.