Organization
COMMUNITY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN JAMES MIKULA (CFO)
(724) 465-5576
Entity
Organization
Contact information
Practice address
4205 CRAWFORD AVE, NORTHERN CAMBRIA, PA 15714-1343
(814) 420-8673
(814) 420-8679
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 465-6379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
117063
PA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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