# SPIRIT PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holy Spirit Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205269891
- **Authorized official:** DAVID GATESMAN (VICE PRESIDENT)
- **Authorized official phone:** (717) 972-4480

## Contact information

- **Practice address:** 503 N 21ST ST, CAMP HILL, PA 17011-2204
- **Practice address phone:** (717) 763-2100
- **Practice address fax:** (717) 972-4470
- **Mailing address:** 205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MD033364E | PA | — |
| 2084P0802X | Addiction Psychiatry Physician | MD033364E | PA | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 08/19/2015