Organization
CENTER FOR COMMUNITY RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P ROBB M.A. (EXECUTIVE DIRECTOR)
(724) 431-0095
Entity
Organization
Contact information
Practice address
212 - 214 S. MAIN ST, SUITE 625, BUTLER, PA 16001-5914
(724) 431-0095
Mailing address
127 S MAIN ST, BUTLER, PA 16001-5935
(724) 431-0095
(724) 431-0099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007491000004
—
PA
05
—
1007491000006
—
PA
05
—
1007491000013
—
PA
05
—
1007491000020
—
PA
Enumeration date
04/17/2007
Last updated
12/31/2018
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