WESTERN CLINTON COUNTY COMMUNITY SERVICES
NPI 1518170455
Community/Behavioral Health in Renovo, PA

Active since May 07, 2007
425 SAINT CLAIR AVE, RENOVO, PA 17764(570) 923-2904 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Western Clinton County Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN CLINTON COUNTY COMMUNITY SERVICES (NPI 1518170455) is a healthcare organization registered as a community/behavioral health in Renovo, Pennsylvania and active in the NPI registry since May 2007. The organization lists Mina-ayesha A Blair, Director, as its authorized official.

NPPES Registry Identity

NPI1518170455
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWESTERN CLINTON COUNTY COMMUNITY SERVICES
Location Address425 SAINT CLAIR AVERenovo, PA 17764-1068
Mailing Address425 Saint Clair Ave, Po Box 462Renovo, PA 17764-1068 · (570) 923-2904
Organization SubpartNo
Authorized OfficialMina-ayesha A BlairDirector · (570) 923-2904
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1518170455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
425 SAINT CLAIR AVE, Renovo, PA 17764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Clinton County Community Services's NPI number?

The NPI number for Western Clinton County Community Services is 1518170455. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Western Clinton County Community Services located?

Western Clinton County Community Services is located at 425 Saint Clair Ave, Renovo, PA 17764. The listed phone number is (570) 923-2904.

What is Western Clinton County Community Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Western Clinton County Community Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.