Organization
BEHAVIORAL HEALTH INTEGRATIVE CARE OF PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALICIA SANTOS PIERCE (CORP. OPS MANAGER)
(561) 473-9426
Entity
Organization
Contact information
Practice address
2214 N ATHERTON ST STE 3-6, STATE COLLEGE, PA 16803-1544
(305) 542-0687
Mailing address
1170 S STATE ST, EPHRATA, PA 17522-2601
(305) 542-0687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/11/2021
Last updated
05/16/2023
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