MEDICARE: CDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1679393292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CDS LLC

Provider Business Mailing Address
First Line	:	1400 VETERANS HWY
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-2115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 COMMUNITY WAY
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2329
Country	:	US
Telephone Number	:	888-755-7227
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BENJAMIN BRADY
Credential	:
Telephone Number	:	615-864-8145

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	04/06/2026

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Directions to “CDS LLC ” Practice Location

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