Organization
PB OUTPATIENT SERVICES PENNSYLVANIA, LLC
Active
Other names
Clarity Way
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FREEMAN (EDI/SPECIALIST)
(615) 567-7256
Entity
Organization
Contact information
Practice address
544 IRON RIDGE RD, HANOVER, PA 17331-6838
(717) 225-3906
Mailing address
PO BOX 207819, DALLAS, TX 75320-7819
(717) 225-3906
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/26/2019
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