| Merakey Pennsylvania | |
|
209 S Tulpehocken St Pine Grove PA 17963-1036 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Pennsylvania |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 209 S Tulpehocken St, Pine Grove, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Pennsylvania 4391 Sturbridge Dr Harrisburg PA 17110-3673 Ph: (215) 836-3131 | Merakey Pennsylvania 209 S Tulpehocken St Pine Grove PA 17963-1036 Ph: (215) 836-3131 |
| NPI Number | 1932378205 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932378205 | NPI | - | NPPES |
| 1000017440255 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Kaleidoscope Of Life Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 S Tulpehocken St, Pine Grove, PA 17963 Phone: 570-789-3599 |