Healthcare Provider Details

I. General information

NPI: 1245601392
Provider Name (Legal Business Name): SALISBURY BEHAVIORAL HEALTH DBA NEW STORY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 COMMERCE DR
HARRISBURG PA
17110-9365
US

IV. Provider business mailing address

211 PERIMETER CENTER PKWY NE STE 750
ATLANTA GA
30346-1318
US

V. Phone/Fax

Practice location:
  • Phone: 717-901-9906
  • Fax:
Mailing address:
  • Phone: 770-630-7290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH002849
License Number StatePA

VIII. Authorized Official

Name: JENNIFER D LOZANO
Title or Position: SVP FINANCIAL SERVICES
Credential:
Phone: 770-630-7290