| Community Guidance Center | |
|
793 Old Route 119 Hwy N Indiana PA 15701-1372 | |
| (724) 465-5576 | |
| (724) 465-6379 |
| Full Name | Community Guidance Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 793 Old Route 119 Hwy N, Indiana, Pennsylvania |
| Authorized Official Name and Position | Darrin J Mikula (CFO) |
| Authorized Official Contact | 7244655576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Guidance Center 793 Old Route 119 Hwy N Indiana PA 15701-1372 Ph: (724) 465-5576 | Community Guidance Center 793 Old Route 119 Hwy N Indiana PA 15701-1372 Ph: (724) 465-5576 |
| NPI Number | 1831368018 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831368018 | NPI | - | NPPES |
| 059742 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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Community Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy N, Indiana, PA 15701 Phone: 724-465-5576 Fax: 724-463-3262 | |
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