| Beech Street Program, Llc | |
|
20a Beech St Carlisle PA 17013-3105 | |
| (717) 245-2404 | |
| (717) 241-0500 |
| Full Name | Beech Street Program, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 20a Beech St, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Cynthia Gail Sniscak (PRESIDENT) |
| Authorized Official Contact | 7172452404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beech Street Program, Llc 20a Beech St Carlisle PA 17013-3105 Ph: (717) 245-2404 | Beech Street Program, Llc 20a Beech St Carlisle PA 17013-3105 Ph: (717) 245-2404 |
| NPI Number | 1457582330 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457582330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002597 (Pennsylvania) | Primary |
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