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Organization

CHILD GUIDANCE RESOURCE CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY E MEADOWS-MARTELLA MFT (VP, OPERATIONS)
(484) 454-8700
Entity
Organization

Contact information

Practice address
744 E LINCOLN HWY, SUITE 420, COATESVILLE, PA 19320
(484) 454-8734
(484) 454-8706
Mailing address
2000 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083-2712
(484) 454-8735
(484) 454-8706

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
112610
PA
251S00000X
Community/Behavioral Health Agency
112610
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
184890
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112610
PA
05
184890
PA
Enumeration date
04/13/2007
Last updated
06/07/2018
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