# SPIRIT PHYSICIAN SERVICES, INC

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

## Provider details

- **NPI number:** 1194183822
- **Authorized official:** DAVID A GATESMAN (VICE -PRESIDENT)
- **Authorized official phone:** (717) 972-4480

## Contact information

- **Practice address:** 20 ERFORD RD, WORMLEYSBURG, PA 17043-1163
- **Practice address phone:** (717) 763-3008
- **Practice address fax:** (717) 972-6865
- **Mailing address:** 205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
- **Mailing address phone:** (717) 972-4480
- **Mailing address fax:** (717) 972-4156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | PA | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 02/17/2016