Organization
PERRY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENYS J. DILISSIO CAC (EXECUTIVE DIRECTOR)
(717) 582-8703
Entity
Organization
Contact information
Practice address
8391 SPRING ROAD, NEW BLOOMFIELD, PA 17068
(717) 582-8703
(717) 582-3694
Mailing address
PO BOX 436, NEW BLOOMFIELD, PA 17068-0436
(717) 582-8703
(717) 582-3694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
501025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012162940002
—
PA
01
—
501025
DRUG ALCOHOL OUTPATIENT
PA
Enumeration date
03/02/2007
Last updated
08/22/2020
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