| Grassroots Recovery Home Shares Llc | |
|
525 S Christian St Lancaster PA 17602-4437 | |
| (301) 524-4530 | |
| Not Available |
| Full Name | Grassroots Recovery Home Shares Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 S Christian St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Anthony Michael Moriarty (RN) |
| Authorized Official Contact | 3015244530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Recovery Home Shares Llc 145 E King St Ste 201 Lancaster PA 17602 Ph: (301) 524-4530 | Grassroots Recovery Home Shares Llc 525 S Christian St Lancaster PA 17602-4437 Ph: (301) 524-4530 |
| NPI Number | 1063204121 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063204121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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