| Edgewater Psychiatric Center | |
|
295 State Dr Elizabethville PA 17023-8661 | |
| (215) 836-3131 | |
| Not Available |
| Full Name | Edgewater Psychiatric Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 295 State Dr, Elizabethville, Pennsylvania |
| Authorized Official Name and Position | Norman Tilson (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Psychiatric Center 4391 Sturbridge Dr Harrisburg PA 17110-3673 Ph: (215) 836-3131 | Edgewater Psychiatric Center 295 State Dr Elizabethville PA 17023-8661 Ph: (215) 836-3131 |
| NPI Number | 1275757692 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275757692 | NPI | - | NPPES |
| 1007457920011 | Medicaid | PA | |
| 1007457920019 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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