| Nulton Diagnostic And Treatment Center | |
|
220 College Park Plaza Johnstown PA 15904 | |
| (814) 266-0025 | |
| (814) 266-8745 |
| Full Name | Nulton Diagnostic And Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 College Park Plaza, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Larry Nulton (OWNER) |
| Authorized Official Contact | 8142620025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulton Diagnostic And Treatment Center 220 College Park Plaza Johnstown PA 15904 Ph: (814) 266-0025 | Nulton Diagnostic And Treatment Center 220 College Park Plaza Johnstown PA 15904 Ph: (814) 266-0025 |
| NPI Number | 1467677831 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467677831 | NPI | - | NPPES |
| 1007324900004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 313430 (Pennsylvania) | Primary |
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