Organization
EDGEWATER PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ZABOLOTNY (CORP SR. DIRECTOR OF BUSINESS OPS)
(717) 441-9565
Entity
Organization
Contact information
Practice address
2421 N FRONT ST, HARRISBURG, PA 17110-1110
(717) 441-9565
Mailing address
1320 LINGLESTOWN RD, HARRISBURG, PA 17110-2822
(717) 441-9565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007457920007
—
PA
Enumeration date
04/11/2007
Last updated
02/26/2008
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