| Cmsu Bh/ds | |
|
100 Terrace Ln Danville PA 17821-2142 | |
| (570) 275-5422 | |
| (570) 275-6610 |
| Full Name | Cmsu Bh/ds |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Terrace Ln, Danville, Pennsylvania |
| Authorized Official Name and Position | Richard D. Beach (ADMINISTRATOR) |
| Authorized Official Contact | 5702755422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmsu Bh/ds Po Box 219 Danville PA 17821-0219 Ph: (570) 275-5422 | Cmsu Bh/ds 100 Terrace Ln Danville PA 17821-2142 Ph: (570) 275-5422 |
| NPI Number | 1215382684 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215382684 | NPI | - | NPPES |
| 100002090 | Other | PA | CCRI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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