# UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053372417
- **Authorized official:** MRS. INGRID S JOBE BS (ADMINISTRATOR)
- **Authorized official phone:** (717) 545-1427

## Contact information

- **Practice address:** 4800 LINGLESTOWN RD, STE 303, HARRISBURG, PA 17112
- **Practice address phone:** (717) 545-1427
- **Practice address fax:** (717) 545-1428
- **Mailing address:** 2321 FOREST LANE, HAMSBURG, PA 17112
- **Mailing address phone:** (717) 541-0659
- **Mailing address fax:** (717) 545-1428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD048681L | PA | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 08/22/2020
