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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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043331994
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 : 814-362-5250
Fax Number : 814-362-2185
Provider Business Practice Location Address
First Line : 1885 MARKET ST
Second Line :
City : WARREN
State : PA
Zip : 16365-1277
Country : US
Telephone Number : 814-723-1832
Fax Number : 814-362-5245
Authorized Official
Title or Position : CREDENTIALING
Name : TINA M CARY
Credential :
Telephone Number : 814-817-1400
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/15/2019

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

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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.

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