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General NPI Number Information
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NPI Number | 1336210699
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Entity Type | Organization
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Legal Business Name | VIAQUEST BEHAVIAORL HEALTH OF PA, LLC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25 WOODS LN
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City | LEWISTOWN
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State | PA
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Zip | 17044-2082
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Country | US
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Telephone | 717-242-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 525 METRO PL N SUITE 450
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City | DUBLIN
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State | OH
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Zip | 43017-5342
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Country | US
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Telephone | 800-645-3267
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Fax |
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | RICH JOHNSON
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Credential |
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Telephone | 800-645-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 316910
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 301480
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 302410
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 316970
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License Number State | PA
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