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NPI Code Detail

MEDICARE: CHILDREN'S CENTER FOR TREATMENT AND EDUCATION

MEDICARE: CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1043863947
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Provider Business Mailing Address
First Line : 800 E MAIN ST
Second Line :
City : BRADFORD
State : PA
Zip : 16701-3278
Country : US
Telephone Number : 814-817-1400
Fax Number : 814-362-5245
Provider Business Practice Location Address
First Line : 1885 MARKET ST
Second Line :
City : WARREN
State : PA
Zip : 16365-1277
Country : US
Telephone Number : 814-817-1400
Fax Number : 814-362-5245
Authorized Official
Title or Position : CREDENTIALING
Name : TINA M CARY
Credential :
Telephone Number : 814-817-1400
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/24/2019

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Directions to “CHILDREN'S CENTER FOR TREATMENT AND EDUCATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.