| Gestalt Development Center, Llc | |
|
2023 N 2nd St Suite 111 Harrisburg PA 17102-2151 | |
| (814) 244-0501 | |
| (717) 695-9520 |
| Full Name | Gestalt Development Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2023 N 2nd St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Christopher Watkins (CEO) |
| Authorized Official Contact | 8142440501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gestalt Development Center, Llc 2023 N 2nd St Suite 111 Harrisburg PA 17102-2151 Ph: (814) 244-0501 | Gestalt Development Center, Llc 2023 N 2nd St Suite 111 Harrisburg PA 17102-2151 Ph: (814) 244-0501 |
| NPI Number | 1891173126 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891173126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC006696 (Pennsylvania) | Primary |
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