Healthcare Provider Details

I. General information

NPI: 1750889176
Provider Name (Legal Business Name): CENTER FOR COMMUNITY RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 12/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 S 7TH AVE
CLARION PA
16214-2053
US

IV. Provider business mailing address

127 S MAIN ST
BUTLER PA
16001-5935
US

V. Phone/Fax

Practice location:
  • Phone: 724-431-0095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PAMELA BUERKLE
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 724-431-3703