Organization
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DELOS BEACH LCSW, BCD (ADMINISTRATOR)
(570) 275-5422
Entity
Organization
Contact information
Practice address
507 E MARKET ST, DANVILLE, PA 17821-2009
(570) 275-4962
(570) 275-5754
Mailing address
PO BOX 219, DANVILLE, PA 17821-0219
(570) 275-5422
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000020900062
—
PA
05
—
1000020900064
—
PA
05
—
1000020900079
—
PA
05
—
1000020900080
—
PA
05
—
1000020900082
—
PA
05
—
1000020900083
—
PA
Enumeration date
05/21/2008
Last updated
09/08/2020
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