Organization
CHILDRENS BEHAVIORAL HEALTH, LLC
Active
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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