| Spirit Physician Services, Inc | |
|
20 Erford Rd Wormleysburg PA 17043-1163 | |
| (717) 763-3008 | |
| (717) 972-6865 |
| Full Name | Spirit Physician Services, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 Erford Rd, Wormleysburg, Pennsylvania |
| Authorized Official Name and Position | David A Gatesman (VICE -PRESIDENT) |
| Authorized Official Contact | 7179724480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Physician Services, Inc 205 Grandview Ave Suite 210 Camp Hill PA 17011-1708 Ph: (717) 972-4480 | Spirit Physician Services, Inc 20 Erford Rd Wormleysburg PA 17043-1163 Ph: (717) 763-3008 |
| NPI Number | 1194183822 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194183822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Pennsylvania) | Primary |
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