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NPI Code Detail

MEDICARE: CHILD GUIDANCE RESOURCE CENTERS

MEDICARE: CHILD GUIDANCE RESOURCE CENTERS
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 Agency112610PA

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 : 1720201478
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD GUIDANCE RESOURCE CENTERS
Provider Business Mailing Address
First Line : 2000 OLD WEST CHESTER PIKE
Second Line :
City : HAVERTOWN
State : PA
Zip : 19083-2712
Country : US
Telephone Number : 484-454-8700
Fax Number : 484-454-8706
Provider Business Practice Location Address
First Line : 744 E LINCOLN HWY
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-3590
Country : US
Telephone Number : 484-454-8735
Fax Number : 484-454-8706
Authorized Official
Title or Position : DIRECTOR PI
Name : MR. TODD JARGER
Credential :
Telephone Number : 484-454-8700
Provider Enumeration Date : 04/11/2007
Last Update Date : 01/14/2016

Similar Medicare Providers

1952779118 — STELLA BARRY LCSW
Practice Location Address:
744 E LINCOLN HWY
COATESVILLE, PA
19320-3590
Practice Phone: 610-383-5635
Practice Fax:
1518989888 — DR. MARIE BRISLIN MD
Practice Location Address:
744 E LINCOLN HWY , 110
COATESVILLE, PA
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Practice Phone: 610-380-4660
Practice Fax: 610-380-4664
1710018353 — DR. GEORGE VISNICH D.M.D.
Practice Location Address:
744 E LINCOLN HWY STE 110
COATESVILLE, PA
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Practice Phone: 717-299-6371
Practice Fax:
1013030626 — CHILD GUIDANCE RESOURCE CENTERS
Practice Location Address:
744 E LINCOLN HWY
COATESVILLE, PA
19320-3590
Practice Phone: 484-454-8735
Practice Fax:
1184883373 — SANDRA J HALE MS LPC
Practice Location Address:
744 E LINCOLN HWY , SUITE 410
COATESVILLE, PA
19320-3590
Practice Phone: 610-380-9982
Practice Fax: 610-380-9987
1679713994 — ANNE MARIE ESPOSITO
Practice Location Address:
744 E LINCOLN HWY
COATESVILLE, PA
19320-3590
Practice Phone: 610-383-5635
Practice Fax: 610-383-6581

Directions to “CHILD GUIDANCE RESOURCE CENTERS ” Practice Location

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