| 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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