| Children's Center For Treatment And Education | |
|
945 South Ave Custer City PA 16725 | |
| (814) 817-1400 | |
| Not Available |
| Full Name | Children's Center For Treatment And Education |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 945 South Ave, Custer City, Pennsylvania |
| Authorized Official Name and Position | Susan Teconchuk (ASSOCIATE DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8148171400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Center For Treatment And Education 800 E Main St Bradford PA 16701-3278 Ph: (814) 817-1400 | Children's Center For Treatment And Education 945 South Ave Custer City PA 16725 Ph: (814) 817-1400 |
| NPI Number | 1417555244 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417555244 | NPI | - | NPPES |
| 100771021 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Beacon Light Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 South Ave., Custer City, PA 16725 Phone: 814-362-6565 Fax: 814-362-6415 |