Organization
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Active
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000020900077
—
PA
05
—
335290
—
PA
Enumeration date
03/19/2010
Last updated
09/23/2019
Update your record
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