Healthcare Provider Details

I. General information

NPI: 1659594679
Provider Name (Legal Business Name): VENANGO TRAINING & DEVELOPMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 QUAKER DR.
SENECA PA
16346-2417
US

IV. Provider business mailing address

239 QUAKER DR.
SENECA PA
16346-2417
US

V. Phone/Fax

Practice location:
  • Phone: 814-676-5755
  • Fax: 814-676-9563
Mailing address:
  • Phone: 814-676-5755
  • Fax: 814-676-9563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number401070
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number419680
License Number StatePA

VIII. Authorized Official

Name: COLLEEN A STUART
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 814-676-5755