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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
200 PRUSHNOK DRIVE - LEVER STREET, SUITE 103, PUNXSUTAWNEY, PA 15767
(814) 938-4444
(724) 938-3313
Mailing address
793 OLD ROUTE 119 HIGHWAY NORTH, INDIANA, PA 15701
(724) 465-5576
(724) 465-6379

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
421230
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000033280039
PA
Enumeration date
04/03/2007
Last updated
05/20/2014
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