Organization
SPIRIT PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A GATESMAN (VICE -PRESIDENT)
(717) 972-4480
Entity
Organization
Contact information
Practice address
20 ERFORD RD, WORMLEYSBURG, PA 17043-1163
(717) 763-3008
(717) 972-6865
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
(717) 972-4480
(717) 972-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
Other
Enumeration date
02/09/2016
Last updated
02/17/2016
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