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Organization

PA. PSYCHIATRIC INS

Active
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Organization

PA. PSYCHIATRIC INS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALTER H BUFFORD III MHS (THERAPIST)
(717) 782-2736
Entity
Organization

Contact information

Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-2736
(717) 782-4661
Mailing address
2501 N 3RD STREET, HARRISBURG, PA 17110
(717) 782-2736
(717) 782-4661

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
106500000X
PA

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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