| Edgewater Psychiatric Center | |
|
2421 N Front St Harrisburg PA 17110-1110 | |
| (717) 441-9565 | |
| Not Available |
| Full Name | Edgewater Psychiatric Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2421 N Front St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Matthew Zabolotny (CORP. SR. DIRECTOR OF BUSINESS OPS.) |
| Authorized Official Contact | 7174419565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Psychiatric Center 1320 Linglestown Rd Harrisburg PA 17110-2822 Ph: (717) 441-9565 | Edgewater Psychiatric Center 2421 N Front St Harrisburg PA 17110-1110 Ph: (717) 441-9565 |
| NPI Number | 1821267543 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821267543 | NPI | - | NPPES |
| 1007457920002 | Medicaid | PA | |
| 1007457920004 | Medicaid | PA | |
| 1007457920005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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