Provider Demographics
NPI:1235490103
Name:BLUE MOUNTAIN COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BLUE MOUNTAIN COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-731-1900
Mailing Address - Street 1:207 HOUSE AVE
Mailing Address - Street 2:SUITE 107, ROOM 27
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2308
Mailing Address - Country:US
Mailing Address - Phone:717-731-1900
Mailing Address - Fax:717-731-8150
Practice Address - Street 1:207 HOUSE AVE
Practice Address - Street 2:SUITE 107, ROOM 27
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2308
Practice Address - Country:US
Practice Address - Phone:717-731-1900
Practice Address - Fax:717-731-8150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management