Organization
THE GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CARY (DIR OF PROVIDER AND COMM RELATIOSN)
(814) 362-6535
Entity
Organization
Contact information
Practice address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
(814) 362-7358
Mailing address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
(814) 362-7358
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
463960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001058
—
PA
05
—
1001067
—
PA
01
—
GU160703
HIGHMARK BCBS
—
01
—
GU631702
HIGHMARK BCBS
—
Enumeration date
09/13/2005
Last updated
07/03/2023
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