Organization
MERAKEY PENNSYLVANIA
Active
Organization
MERAKEY PENNSYLVANIA
Active
Other names
NHS Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
30 N MAIN ST, CARBONDALE, PA 18407-2304
(215) 836-3131
(215) 273-5975
Mailing address
4251 CRUMS MILL RD, HARRISBURG, PA 17112-2824
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017440762
—
PA
05
—
1000017440775
—
PA
05
—
1000017440784
—
PA
05
—
1000017440790
—
PA
Enumeration date
07/20/2012
Last updated
02/08/2024
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