Commonwealth Clinical Group, INC.
Community/Behavioral Health in Harrisburg, PA. Organization (NPI-2).
NPI number1306411210
StatusActive
Last updated in NPPESSep 15, 2021
Details
- NPI
- 1306411210
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Clinical Group, INC.
- Organization subpart
- No
- Enumeration date
- May 24, 2021
- Certification date
- Sep 15, 2021
- Last updated
- Sep 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
519 S 29th StHarrisburg, PA 17104-2106
Phone 717-393-3900 · Fax 717-393-7900
Mailing address
41 E Orange StLancaster, PA 17602-2846
Phone 717-393-3900 · Fax 717-393-7900
Authorized official
Stacie Basham
Billing Coordinator
1773933900
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