| Goodwill Of The Southern Alleghenies | |
|
540 Central Ave Johnstown PA 15902-2674 | |
| (814) 536-3536 | |
| (814) 536-5171 |
| Full Name | Goodwill Of The Southern Alleghenies |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 540 Central Ave, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Bradley Robert Burger (PRESIDENT/CEO) |
| Authorized Official Contact | 8142549700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Of The Southern Alleghenies 540 Central Ave Johnstown PA 15902-2674 Ph: (814) 536-3536 | Goodwill Of The Southern Alleghenies 540 Central Ave Johnstown PA 15902-2674 Ph: (814) 536-3536 |
| NPI Number | 1154453546 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154453546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 306150 (Pennsylvania) | Primary |
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