# VIAQUEST BEHAVIAORL HEALTH OF PA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336210699
- **Authorized official:** RICH JOHNSON (OWNER PRESIDENT)
- **Authorized official phone:** (800) 645-3267

## Contact information

- **Practice address:** 25 WOODS LN, LEWISTOWN, PA 17044-2082
- **Practice address phone:** (717) 242-2700
- **Mailing address:** 525 METRO PL N, SUITE 450, DUBLIN, OH 43017-5342
- **Mailing address phone:** (800) 645-3267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 316970 | PA | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 09/11/2025

## 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 |