Spirit Physician Services, INC

NPI #1194183822 in Wormleysburg, Pennsylvania

Provider Information

NPI Number: 1194183822
Entity Type: Organization
Organization Name: Spirit Physician Services, INC
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 9, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 20 ERFORD RD
City: Wormleysburg
State: Pennsylvania
ZIP Code: 17043-1163
Phone: (717) 763-3008

Authorized Official

Name: DAVID A GATESMAN
Title: VICE -PRESIDENT
Phone: (717) 972-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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