| Addiction Wellness Center Pa Llc | |
|
4755 Linglestown Rd Ste 402b Harrisburg PA 17112-8508 | |
| (667) 367-8357 | |
| Not Available |
| Full Name | Addiction Wellness Center Pa Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4755 Linglestown Rd Ste 402b, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Sarah Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6673678357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Wellness Center Pa Llc 1100 Business Pkwy S Ste 1 Westminster MD 21157-3048 Ph: (443) 839-6928 | Addiction Wellness Center Pa Llc 4755 Linglestown Rd Ste 402b Harrisburg PA 17112-8508 Ph: (667) 367-8357 |
| NPI Number | 1013757525 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013757525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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