Organization
CENTRAL PENNSYLVANIA SUPPORTIVE SERVICES, INC. (CPSS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETA J. DEATRICK CPRP (DIRECTOR/PRESIDENT)
(717) 901-5099
Entity
Organization
Contact information
Practice address
1820 LINGLESTOWN RD, SUITE SE-L, HARRISBURG, PA 17110-3339
(717) 901-5099
(717) 901-0388
Mailing address
PO BOX 62126, HARRISBURG, PA 17106-2126
(717) 901-5099
(717) 901-0388
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
159341
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101858549
—
PA
Enumeration date
04/12/2013
Last updated
06/22/2016
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