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10517 Raystown Rd Huntingdon PA 16652-7545 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10517 Raystown Rd, Huntingdon, 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 |
|---|---|
4251 Crums Mill Rd Harrisburg PA 17112-2824 Ph: (215) 836-3131 | 10517 Raystown Rd Huntingdon PA 16652-7545 Ph: (215) 836-3131 |
| NPI Number | 1740304138 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740304138 | NPI | - | NPPES |
| 1000017441076 | Medicaid | PA | |
| 1000017440235 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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