| |
550 W Loudon St Chambersburg PA 17201-2030 | |
(717) 263-0450 | |
(717) 263-3016 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 550 W Loudon St, Chambersburg, Pennsylvania |
Authorized Official Name and Position | Matthew Wirtner (AREA MANAGER) |
Authorized Official Contact | 5702084858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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550 W Loudon St Chambersburg PA 17201-2030 Ph: (717) 263-0450 | 550 W Loudon St Chambersburg PA 17201-2030 Ph: (717) 263-0450 |
NPI Number | 1518356872 |
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Provider Enumeration Date | 01/09/2015 |
Last Update Date | 01/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518356872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 287052 (Pennsylvania) | Primary |
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