Organization
SPIRIT PHYSICIAN SERVICES, INC
Active
Other names
Holy Spirit Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GATESMAN (VICE PRESIDENT)
(717) 972-4480
Entity
Organization
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
(717) 972-4470
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MD033364E
PA
2084P0802X
Addiction Psychiatry Physician
Primary
MD033364E
PA
Other
Enumeration date
08/19/2013
Last updated
08/19/2015
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