Central Pennsylvania Supportive Services, Inc. (cpss) | |
1820 Linglestown Rd Suite Se-l Harrisburg PA 17110-3339 | |
(717) 901-5099 | |
(717) 901-0388 |
Full Name | Central Pennsylvania Supportive Services, Inc. (cpss) |
---|---|
Speciality | Community/behavioral Health |
Location | 1820 Linglestown Rd, Harrisburg, Pennsylvania |
Authorized Official Name and Position | Leta J. Deatrick (DIRECTOR/PRESIDENT) |
Authorized Official Contact | 7179015099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Pennsylvania Supportive Services, Inc. (cpss) Po Box 62126 Harrisburg PA 17106-2126 Ph: (717) 901-5099 | Central Pennsylvania Supportive Services, Inc. (cpss) 1820 Linglestown Rd Suite Se-l Harrisburg PA 17110-3339 Ph: (717) 901-5099 |
NPI Number | 1003259672 |
---|---|
Provider Enumeration Date | 04/12/2013 |
Last Update Date | 06/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003259672 | NPI | - | NPPES |
101858549 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 159341 (Pennsylvania) | Primary |
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