Organization
BEHAVIORAL SUPPORT FOR FAMILY AND COMMUNITY , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZBIGNIEW GOLONKA PH.D. (PRESIDENT)
(203) 598-1796
Entity
Organization
Contact information
Practice address
135 N GEORGE ST, CGA PROFESSIONAL CENTER, YORK, PA 17401-1132
(877) 777-5393
Mailing address
8764 STONEHOUSE DR, ELLICOTT CITY, MD 21043-1931
(877) 777-5393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008551L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103T00000X
—
PA
Enumeration date
02/02/2007
Last updated
08/22/2020
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