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Organization
VIAQUEST BEHAVIAORL HEALTH OF PA, LLC
Active
Organization
VIAQUEST BEHAVIAORL HEALTH OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICH JOHNSON (OWNER PRESIDENT)
(800) 645-3267
Entity
Organization
Contact information
Practice address
25 WOODS LN, LEWISTOWN, PA 17044-2082
(717) 242-2700
Mailing address
525 METRO PL N, SUITE 450, DUBLIN, OH 43017-5342
(800) 645-3267
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
316910
PA
320800000X
Mental Illness Community Based Residential Treatment Facility
301480
PA
320800000X
Mental Illness Community Based Residential Treatment Facility
302410
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
316970
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019621050001
—
PA
05
—
0019621050002
—
PA
05
—
0019621050003
—
PA
05
—
0019621050004
—
PA
01
—
0428
BLUE CROSS PROVIDER #
PA
01
—
5011962105
CBHNP PROVIDER #
PA
Enumeration date
11/10/2006
Last updated
09/11/2025
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