Organization
INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.
Active
Other names
Huntingdon Counseling and Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK M. PETERS M.A. (PRESIDENT/CEO)
(814) 643-6300
Entity
Organization
Contact information
Practice address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
(814) 643-8776
Mailing address
900 BRYAN STREET, SUITE 5, HUNTINGDON, PA 16652
(814) 643-6300
(814) 643-8776
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
313180
PA
261QM0850X
Adult Mental Health Clinic/Center
313180
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
313180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746486
—
PA
01
—
1350119
BLUE SHIELD (MANAGED CARE
PA
01
—
1359155
BLUE SHIELD
PA
Enumeration date
08/30/2006
Last updated
03/11/2021
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