Healthcare Provider Details

I. General information

NPI: 1932328739
Provider Name (Legal Business Name): UNIVERSAL COMMUNITY BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 THE MEADOWS DR
CENTRE HALL PA
16828-9231
US

IV. Provider business mailing address

132 THE MEADOWS DR
CENTRE HALL PA
16828-9231
US

V. Phone/Fax

Practice location:
  • Phone: 814-364-2161
  • Fax:
Mailing address:
  • Phone: 814-364-2161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number305320
License Number StatePA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO SR VP
Credential:
Phone: 610-768-3300