Organization
ALTERNATIVE COMMUNITY RESOURCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL SURLOFF (CLINICAL SUPERVISOR)
(814) 534-0745
Entity
Organization
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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