| 4c Ltd. | |
|
114 Zion Rd Clarion PA 16214-3254 | |
| (814) 319-7217 | |
| Not Available |
| Full Name | 4c Ltd. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 114 Zion Rd, Clarion, Pennsylvania |
| Authorized Official Name and Position | Samuel Gary Johnson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8143197217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4c Ltd. 425 Ron Mchenry Rd Knox PA 16232-3009 Ph: (814) 797-0256 | 4c Ltd. 114 Zion Rd Clarion PA 16214-3254 Ph: (814) 319-7217 |
| NPI Number | 1437527280 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437527280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC003785 (Pennsylvania) | Primary |
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