Provider Demographics
NPI:1710148598
Name:COMMUNITY OF CARING
Entity Type:Organization
Organization Name:COMMUNITY OF CARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:YUNGWIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-456-6661
Mailing Address - Street 1:245 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-1003
Mailing Address - Country:US
Mailing Address - Phone:814-456-6661
Mailing Address - Fax:814-456-5864
Practice Address - Street 1:245 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-1003
Practice Address - Country:US
Practice Address - Phone:814-456-6661
Practice Address - Fax:814-456-5864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health