Healthcare Provider Details

I. General information

NPI: 1215610647
Provider Name (Legal Business Name): CENTER FOR COMMUNITY RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 S 7TH AVE STE 110
CLARION PA
16214-2053
US

IV. Provider business mailing address

212-214 S. MAIN STREET SUITE 625
BUTLER PA
16001
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

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