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3507 Market St Camp Hill PA 17011-4310 | |
| (240) 299-6285 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3507 Market St, Camp Hill, Pennsylvania |
| Authorized Official Name and Position | Laporcha Johnson (CEO) |
| Authorized Official Contact | 2402996285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3507 Market St Camp Hill PA 17011-4310 Ph: () - | 3507 Market St Camp Hill PA 17011-4310 Ph: (240) 299-6285 |
| NPI Number | 1720831803 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720831803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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