Organization
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D. BEACH LCSW, BCD (ADMINISTRATOR)
(570) 275-5422
Entity
Organization
Contact information
Practice address
675 LOCUST ST, BLOOMSBURG, PA 17815
(570) 784-7804
(570) 784-8307
Mailing address
PO BOX 219, DANVILLE, PA 17821-0219
(570) 275-5422
(570) 275-6610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
32777
PA
251S00000X
Community/Behavioral Health Agency
Primary
327770
PA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000020900077
—
PA
05
—
335290
—
PA
Enumeration date
03/19/2010
Last updated
09/23/2019
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