Organization
SHADRACH COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS A CANFIELD (CEO)
(814) 236-7406
Entity
Organization
Contact information
Practice address
2001 BEDFORD ST, JOHNSTOWN, PA 15904-1096
(814) 241-0047
Mailing address
15176 TYRONE PIKE, CURWENSVILLE, PA 16833-8319
(814) 236-7406
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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