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Organization

COMMUNITY GUIDANCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN H. FORSHA B.S. ED. (BILLING SUPERVISOR)
(724) 465-5576
Entity
Organization

Contact information

Practice address
1464 N MAIN ST, STE 1, PUNXSUTAWNEY, PA 15767-2609
(814) 938-4444
(724) 463-3262
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 463-3262

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1000033280038
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000033280040
PA
Enumeration date
08/14/2007
Last updated
08/14/2007
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