| Community Support Advantage, Llc | |
|
36 Equestrian Dr Imperial PA 15126-2231 | |
| (910) 650-9827 | |
| Not Available |
| Full Name | Community Support Advantage, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 36 Equestrian Dr, Imperial, Pennsylvania |
| Authorized Official Name and Position | Andrew Smith (OWNER) |
| Authorized Official Contact | 9106509827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Advantage, Llc 36 Equestrian Dr Imperial PA 15126-2231 Ph: (910) 650-9827 | Community Support Advantage, Llc 36 Equestrian Dr Imperial PA 15126-2231 Ph: (910) 650-9827 |
| NPI Number | 1124835442 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 01/25/2025 |
| Certification Date | 01/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124835442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elevate Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27803 Evergreen Run, Imperial, PA 15126 Phone: 814-464-7565 | |