Organization · NPI-2

Commonwealth Clinical Group, INC.

Community/Behavioral Health · Lancaster, PA

NPI number1023267473
StatusActive
Last updated in NPPESSep 15, 2021

Details

NPI
1023267473
Entity type
Organization (NPI-2)
Legal business name
Commonwealth Clinical Group, INC.
Organization subpart
No
Enumeration date
Sep 10, 2008
Certification date
Sep 15, 2021
Last updated
Sep 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

41 E Orange St
Lancaster, PA 17602-2846

Phone 717-393-3900 · Fax 717-393-7900

Mailing address

41 E Orange St
Lancaster, PA 17602-2846

Phone 717-393-3900 · Fax 717-393-7900

Authorized official

Stacie Basham
Billing Coordinator
7173933900

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