Provider Demographics
NPI:1245601392
Name:SALISBURY BEHAVIORAL HEALTH DBA NEW STORY
Entity type:Organization
Organization Name:SALISBURY BEHAVIORAL HEALTH DBA NEW STORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-630-7290
Mailing Address - Street 1:211 PERIMETER CENTER PKWY NE STE 750
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1318
Mailing Address - Country:US
Mailing Address - Phone:770-630-7290
Mailing Address - Fax:
Practice Address - Street 1:2700 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9365
Practice Address - Country:US
Practice Address - Phone:717-901-9906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002849103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty