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Organization

CARELINK COMMUNITY SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES PHILIP KYLE (CONTROLLER)
(610) 874-1119
Entity
Organization

Contact information

Practice address
106 CHESLEY DR, MEDIA, PA 19063-1759
(610) 874-1119
(610) 565-3801
Mailing address
106 CHESLEY DR, MEDIA, PA 19063-1759
(610) 874-1119
(610) 565-3801

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
144170
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150220
PSYCHIATRIC REHABILITATION MOBILE
PA
Enumeration date
05/15/2008
Last updated
09/30/2024
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