Organization · NPI-2

Commonwealth Behavioral Health And Developmental Services, LLC

Community/Behavioral Health · Lancaster, PA

NPI number1235408014
StatusActive
Last updated in NPPESDec 22, 2011

Details

NPI
1235408014
Entity type
Organization (NPI-2)
Legal business name
Commonwealth Behavioral Health And Developmental Services, LLC
Organization subpart
No
Enumeration date
Dec 22, 2011
Last updated
Dec 22, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

447 S Prince St
Lancaster, PA 17603-5657

Phone 267-275-6812 · Fax 804-658-0335

Mailing address

612 Lafayette St
Lancaster, PA 17603-5502

Phone 267-275-6812 · Fax 804-658-0335

Authorized official

Nicole C Culbreth
Chief Executive Director
2672756812

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