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2 Woodland Rd Lowr Level Wyomissing PA 19610-1999 | |
| (484) 222-8282 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 Woodland Rd Lowr Level, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Cicely Y Calvaresi-holston (OWNER) |
| Authorized Official Contact | 6107904140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1209 Whitfield Blvd West Lawn PA 19609-1138 Ph: (610) 790-4140 | 2 Woodland Rd Lowr Level Wyomissing PA 19610-1999 Ph: (484) 222-8282 |
| NPI Number | 1871321661 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871321661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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