Organization
FULTON ALTERNATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GRIMM (OFFICE MANAGER)
(717) 485-6120
Entity
Organization
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-6120
(717) 485-6106
Mailing address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-6120
(717) 485-6106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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