Healthcare Provider Details

I. General information

NPI: 1992919476
Provider Name (Legal Business Name): BEHAVIORAL HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 09/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 MARIETTA AVE
LANCASTER PA
17603-3239
US

IV. Provider business mailing address

822 MARIETTA AVE
LANCASTER PA
17603-3239
US

V. Phone/Fax

Practice location:
  • Phone: 717-399-8288
  • Fax: 717-399-8968
Mailing address:
  • Phone: 717-399-8288
  • Fax: 717-399-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number323720
License Number StatePA

VIII. Authorized Official

Name: MR. ERIC H ESHLEMAN
Title or Position: CEO
Credential: M.ED
Phone: 717-399-8288