Provider Demographics
NPI:1518620079
Name:ACCESSIBLE PSYCHIATRY SERVICES
Entity Type:Organization
Organization Name:ACCESSIBLE PSYCHIATRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANOKWURU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-317-5523
Mailing Address - Street 1:1411 TEDS WAY
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7218
Mailing Address - Country:US
Mailing Address - Phone:814-317-5523
Mailing Address - Fax:
Practice Address - Street 1:615 HOWARD AVE STE 212
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4813
Practice Address - Country:US
Practice Address - Phone:814-317-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service