Organization
ASCEND CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN RYAN (SENIOR VP OF BUSINESS DEVELOPMENT)
(717) 708-1468
Entity
Organization
Contact information
Practice address
33 TEEN CHALLENGE RD, REHRERSBURG, PA 19550-5000
(717) 933-4181
(717) 754-0617
Mailing address
33 TEEN CHALLENGE RD, PO BOX 98, REHRERSBURG, PA 19550-5000
(717) 933-4181
(717) 754-0617
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
062579
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103149980-0001
—
PA
05
—
103149980-0005
—
PA
05
—
103149980-0006
—
PA
Enumeration date
02/16/2016
Last updated
09/24/2024
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