Myerstown Behavioral Outpatient
Clinic/Center, Adult Mental Health in Myerstown, PA. Organization (NPI-2).
NPI number1093620437
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1093620437
- Entity type
- Organization (NPI-2)
- Legal business name
- Myerstown Behavioral Outpatient
- Organization subpart
- Yes
- Enumeration date
- Aug 18, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
7 W Park AveMyerstown, PA 17067-1340
Phone 225-810-6134
Mailing address
7 W Park AveMyerstown, PA 17067-1340
Phone 225-810-6134
Authorized official
Joseph Thibeaux
Ceo
2258106134
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