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Organization

COMMUNITY GUIDANCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN H FORSHA B. S. EDUCATION (BILLING SUPERVISOR)
(724) 465-5576
Entity
Organization

Contact information

Practice address
1464 N MAIN ST, SUITE #1, PUNXSUTAWNEY, PA 15767-2609
(814) 938-4444
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 463-3262

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
421220
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000033280029
PA
01
648057
HIMARK
PA
Enumeration date
03/31/2007
Last updated
08/22/2020
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