Organization
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DELOS BEACH LCSW (ADMINISTRATOR)
(570) 275-5422
Entity
Organization
Contact information
Practice address
1605 BLOOM RD, SUITE # 1, DANVILLE, PA 17821-8506
(570) 275-6080
(570) 275-6089
Mailing address
PO BOX 219, DANVILLE, PA 17821-0219
(570) 275-5422
(570) 275-6610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/15/2014
Last updated
11/10/2014
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