Organization
CLEARFIELD-JEFFERSON CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN H FORSHA B. S. EDUCATION (BILLING SUPERVISOR)
(814) 371-1100
Entity
Organization
Contact information
Practice address
404 LIBERTY BLVD, DU BOIS, PA 15801-2436
(814) 371-1100
(814) 371-3671
Mailing address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(814) 371-1100
(814) 371-3671
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
425110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007627390066
—
PA
Enumeration date
04/04/2007
Last updated
08/22/2020
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