Organization
CENTRAL PENNSYLVANIA SUPPORTIVE SERVICES, INC. (CPSS)
Active
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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