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Organization

MOMENTUM SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN R. GOSHORN (PARTNER)
(717) 262-2183
Entity
Organization

Contact information

Practice address
50 PARKWOOD DR, CHAMBERSBURG, PA 17201-4501
(717) 262-2183
(717) 262-2486
Mailing address
50 PARKWOOD DR, CHAMBERSBURG, PA 17201-4501
(717) 262-2183

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
327460
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017551490003
PA
Enumeration date
12/12/2006
Last updated
09/30/2024
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