Organization
COMMUNITY PSYCHOLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOHN CATINO PHD (CO-OWNER)
(610) 588-1439
Entity
Organization
Contact information
Practice address
715 PENNSYLVANIA AVE, BANGOR, PA 18013-1740
(610) 588-1439
(610) 588-3236
Mailing address
715 PENNSYLVANIA AVE, BANGOR, PA 18013-1740
(610) 588-1439
(610) 588-3236
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
PS005112L
PA
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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