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Organization

COMMUNITY GUIDANCE CENTER

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
450 CENTRAL STREET, ROSSITER, PA 15772
(724) 465-5576
(724) 463-3262
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
421220
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000033280026
PA
Enumeration date
04/17/2007
Last updated
08/22/2020
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