Organization
CMSU MH/MR AND D&A PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP T KEATING MS (ADMINISTRATOR)
(570) 275-5422
Entity
Organization
Contact information
Practice address
603 E MARKET ST, SUITE 200, DANVILLE, PA 17821-2161
(570) 275-4962
Mailing address
PO BOX 219, DANVILLE, PA 17821-0219
(570) 275-5422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
318410
PA
Other
Enumeration date
05/15/2008
Last updated
10/17/2013
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