Organization · Type 2 NPI
Wellspring Community Support Services, Inc.
Adult Mental Health Clinic/Center · Mansfield, PA
NPI number
1144451121
Active
Practice location
3rd & St. James Street, St. James Complex #206B
Mansfield, PA 16933
Fax (570) 662-2822
Mailing address
PO Box 574
Mansfield, PA 16933-0574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 221170 (PA) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 221170 (PA) |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 221170 (PA) |
| Adult Mental Health Clinic/Center | 261QM0850X | 222350 (PA) |
| Rehabilitation Clinic/Center | 261QR0400X | 221170 (PA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1144451121
Wellspring Community Support Services, Inc.'s National Provider Identifier is 1144451121, issued on Aug 7, 2009. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Mansfield, PA. The record was last updated on Apr 20, 2011.