| Child And Adolescent Partial Program | |
|
2501 North Third Street Harrisburg PA 17110-2351 | |
| (717) 782-6420 | |
| Not Available |
| Full Name | Child And Adolescent Partial Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2501 North Third Street, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Kimberly Feeman (CEO) |
| Authorized Official Contact | 7177824742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adolescent Partial Program Po Box 826929 Philadelphia PA 19182-2351 Ph: (717) 782-6420 | Child And Adolescent Partial Program 2501 North Third Street Harrisburg PA 17110-2351 Ph: (717) 782-6420 |
| NPI Number | 1487892972 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487892972 | NPI | - | NPPES |
| 1020963800003 | Medicaid | PA | |
| 394051 | Other | PA | MEDICARE A |
| 166859 | Other | PA | MEDICARE B |
| 2318 | Other | PA | HIGHMARK |
| 390787 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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