Organization
BELLA TERRA STABLES
Active
Organization
BELLA TERRA STABLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILSE EISELE LPC (DIRECTOR OF PROGRAMS)
(240) 305-7526
Entity
Organization
Contact information
Practice address
4913 LOGAN FERRY RD, MURRYSVILLE, PA 15668-9724
(434) 533-5545
Mailing address
4913 LOGAN FERRY RD, MURRYSVILLE, PA 15668-9724
(434) 533-5545
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
10/13/2021
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