# THER MILTON S. HERSHEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Outpatient Psych Clinic - Noll
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770824617
- **Authorized official:** DONALD MCKENNA (PRESIDENT)
- **Authorized official phone:** (717) 531-3979

## Contact information

- **Practice address:** 2170 NOLL DR, LANCASTER, PA 17603-7609
- **Practice address phone:** (717) 435-1000
- **Practice address fax:** (717) 435-1010
- **Mailing address:** 500 UNIVERSITY DR, HERSHEY, PA 17033-2360
- **Mailing address phone:** (800) 243-1455
- **Mailing address fax:** (717) 435-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 327730 | PA | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 01/17/2025
