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640 Walnut St Suite 303 Reading PA 19601-3504 | |
| (610) 208-8860 | |
| (610) 208-8861 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 640 Walnut St, Reading, Pennsylvania |
| Authorized Official Name and Position | Kirk Mcconnell (VP/CORP COMPLIANCE&GENERAL COUNSEL) |
| Authorized Official Contact | 6152509160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
652 W Iris Dr Nashville TN 37204-3191 Ph: (615) 250-9500 | 640 Walnut St Suite 303 Reading PA 19601-3504 Ph: (610) 208-8860 |
| NPI Number | 1518275759 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518275759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 222170 (Pennsylvania) | Primary |
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