Organization
CLEARFIELD-JEFFERSON CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN H FORSHA B. S. EDUCATION (BILLING SUPRVISOR)
(814) 371-1100
Entity
Organization
Contact information
Practice address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(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
251S00000X
Community/Behavioral Health Agency
Primary
413980
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007627390030
—
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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