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3278 Blue Goose Road Nicktown PA 15762 | |
(814) 535-2277 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 3278 Blue Goose Road, Nicktown, Pennsylvania |
Authorized Official Name and Position | Frank J. Janakovic (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8145352277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 Market St Johnstown PA 15901-1628 Ph: (814) 535-2277 | 3278 Blue Goose Road Nicktown PA 15762 Ph: (814) 535-2277 |
NPI Number | 1184140535 |
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Provider Enumeration Date | 08/17/2017 |
Last Update Date | 08/17/2017 |
Identifier | Type | State | Issuer |
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1184140535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 315680 (Pennsylvania) | Primary |