Daystar Center For Spiritual Recovery

LBN: Daystar Center For Spiritual Recovery
Daystar Center For Spiritual Recovery is an health care organization with primary practice located at 125 N. 18Th St. , Harrisburg PA 17103. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Daystar Center For Spiritual Recovery can be contacted via phone (717) 230-9898, or through Wilcox, Fern Roberta via phone (717) 230-9898.

Contact Information

Primary practice address
125 N. 18Th St. Harrisburg PA 17103
Phone: (717) 230-9898
Fax: (717) 238-1793
Website:
Map and Directions
Authorized official contact:
Name: Wilcox, Fern Roberta LPC, CAADC
Phone: (717) 230-9898

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 227077 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Pennsylvania

Profile Details

NPI number 1205967759
LBN Legal business name Daystar Center For Spiritual Recovery
DBA Doing business as
Authorized official Wilcox, Fern Roberta LPC, CAADC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 9th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205967759 NPPES
Pennsylvania Other 100035 CCBH IDENTIFIER
Pennsylvania MEDICAID 0018539150001 CCBH IDENTIFIER
Pennsylvania Other 227077 CCBH IDENTIFIER

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