Organization
AHEDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCCO CAMBRIA (PRESIDENT/CEO)
(717) 763-0968
Entity
Organization
Contact information
Practice address
3300 TRINDLE RD, CAMP HILL, PA 17011-4432
(717) 763-0968
(717) 763-0988
Mailing address
3300 TRINDLE RD, CAMP HILL, PA 17011-4432
(717) 763-0968
(717) 763-0988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003112
MASTER PROVIDER NUMBER
PA
Enumeration date
02/05/2013
Last updated
02/05/2013
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