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DAYSTAR CENTER FOR SPIRITUAL RECOVERY NPI 1205967759


NPI Information

NPI: 1205967759
Provider Name: DAYSTAR CENTER FOR SPIRITUAL RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
125 N. 18TH ST.
HARRISBURG, PA
ZIP 17103
Phone: (717) 230-9898
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DAYSTAR CENTER FOR SPIRITUAL RECOVERY is a substance abuse rehabilitation facility in Harrisburg, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DAYSTAR CENTER FOR SPIRITUAL RECOVERY NPI is 1205967759. The provider is registered as an organization entity type.

The provider's business location address is:

125 N. 18TH ST.
HARRISBURG, PA
ZIP 17103
Phone: (717) 230-9898
Fax: (717) 238-1793

The provider's authorized official is Fern Roberta Wilcox .
The authorized official title is Executive Director and has the following contact phone number (717) 230-9898.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility227077PENNSYLVANIANo
2324500000XSubstance Abuse Rehabilitation FacilityPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1227077OTHERPENNSYLVANIADEPT OF HEALTH FACILITY
20018539150001MEDICAIDPENNSYLVANIA
3100035OTHERPENNSYLVANIACCBH IDENTIFIER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.