| Our Place To Soar | |
|
2603 Keiser Blvd Ste 201 Wyomissing PA 19610-3341 | |
| (610) 207-5279 | |
| Not Available |
| Full Name | Our Place To Soar |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2603 Keiser Blvd Ste 201, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Karen Madeira (COUNSELOR/OWNER) |
| Authorized Official Contact | 6102075279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Place To Soar 483 Oley Rd Fleetwood PA 19522-8861 Ph: () - | Our Place To Soar 2603 Keiser Blvd Ste 201 Wyomissing PA 19610-3341 Ph: (610) 207-5279 |
| NPI Number | 1518497924 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518497924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PC005422 (Pennsylvania) | Primary |
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