MEDICARE: RCMH, 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1700073723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCMH, LLC

Provider Business Mailing Address
First Line	:	200 NEWBERRY CMNS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-975-5937
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	10919 LOUETTA RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1667
Country	:	US
Telephone Number	:	281-251-1800
Fax Number	:

Authorized Official
Title or Position	:	SR MANAGER
Name	:	JENNIFER M ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	03/21/2020

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