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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
848 SALE BARN RD, MIDDLEBURG, PA 17842
(570) 565-7163
Mailing address
PO BOX 219, DANVILLE, PA 17821-0219
(570) 275-5422
(570) 275-6610

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
327200
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000020900076
PA
Enumeration date
09/01/2009
Last updated
06/05/2018
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