Organization
CHILDREN'S HOME OF YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA ELMER (CREDENTIALING SPECIALIST)
(717) 755-1033
Entity
Organization
Contact information
Practice address
77 SHOE HOUSE RD, HELLAM, PA 17406
(717) 755-1033
(717) 755-9993
Mailing address
77 SHOE HOUSE RD, HELLAM, PA 17406-8025
(717) 755-1033
(717) 755-9993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320980
PA
252Y00000X
Early Intervention Provider Agency
320980
PA
253J00000X
Foster Care Agency
327620
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
303660
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320980
PA
323P00000X
Psychiatric Residential Treatment Facility
316860
PA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
677058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729162
—
PA
Enumeration date
02/21/2007
Last updated
07/18/2018
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