Organization
PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MALETZ (VICE PRESIDENT)
(717) 600-0900
Entity
Organization
Contact information
Practice address
2555 CAPE HORN RD, RED LION, PA 17356-9057
(717) 600-0900
(717) 600-0910
Mailing address
2555 CAPE HORN RD, RED LION, PA 17356-9057
(717) 600-0900
(717) 600-0910
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
316610
PA
261QM0850X
Adult Mental Health Clinic/Center
329640
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
316610
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
329640
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007511540006
—
PA
01
—
1579416
HIGHMARK BS
PA
01
—
1579417
HIGHMARK BS
PA
01
—
50035025
CAPITAL BLUE CROSS
PA
Enumeration date
04/08/2006
Last updated
04/26/2022
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