Organization
YORK TMS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIA ETIENNE MD (AUTHORIZED OFFICIAL)
(717) 430-0434
Entity
Organization
Contact information
Practice address
1493 SOUTH QUEEN STREET, YORK, PA 17403-3852
(717) 430-0434
(717) 854-0242
Mailing address
1493 SOUTH QUEEN STREET, YORK, PA 17403-3852
(717) 430-0434
(717) 854-0242
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/10/2024
Last updated
06/05/2024
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