Organization
CEN CLEAR CHILD SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE KEPHART (EXECUTIVE DIRECTOR)
(814) 342-5678
Entity
Organization
Contact information
Practice address
580 OLD ROUTE 322, PHILIPSBURG, PA 16866
(814) 342-5678
(814) 342-2755
Mailing address
1633 PHILIPSBURG BIGLER HWY, PHILIPSBURG, PA 16866-8112
(814) 342-5678
(814) 342-2755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
406200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005322
—
PA
Enumeration date
07/16/2008
Last updated
07/16/2008
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