Organization
COMMUNITY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN J MIKULA (CFO)
(724) 465-5576
Entity
Organization
Contact information
Practice address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(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
251S00000X
Community/Behavioral Health Agency
Primary
421220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003328
—
PA
Enumeration date
09/26/2005
Last updated
10/09/2013
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