Organization
CHILDRENS BEHAVIORAL HEALTH, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE MCQUILLEN (ASSISTANT DIRECTOR OF OPERATIONS)
(814) 241-6556
Entity
Organization
Contact information
Practice address
321 MAIN ST STE 3C&3G, JOHNSTOWN, PA 15901-1632
(814) 262-0768
(814) 262-0795
Mailing address
321 MAIN ST STE 3C&3G, JOHNSTOWN, PA 15901-1632
(814) 262-0768
(814) 262-0795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
302310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749414
—
PA
05
—
101273408
—
PA
01
—
561494
VALUE BEHAVIORAL HEALTH
PA
05
—
VC0572
—
PA
Enumeration date
02/02/2006
Last updated
09/26/2024
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