Organization
CHILDREN'S ADVOCACY CENTER OF LAWRENCE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ASCIONE (EXECUTIVE DIRECTOR)
(724) 658-4688
Entity
Organization
Contact information
Practice address
1000 S MERCER ST, 4TH FLOOR, NEW CASTLE, PA 16101-4672
(724) 658-4688
(724) 658-8810
Mailing address
1000 S MERCER ST, 4TH FLOOR, NEW CASTLE, PA 16101-4672
(724) 658-4688
(724) 658-8810
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016550810001
—
PA
Enumeration date
03/22/2007
Last updated
08/22/2020
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