Diakon Child,family&community Ministries | |
1801 Loyalsock Dr Williamsport PA 17701-2829 | |
(570) 322-7873 | |
(570) 322-8026 |
Full Name | Diakon Child,family&community Ministries |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1801 Loyalsock Dr, Williamsport, Pennsylvania |
Authorized Official Name and Position | Deborah P White (DIRECTOR OF ADMINISTRATIVE OPS) |
Authorized Official Contact | 5703227878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diakon Child,family&community Ministries 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 | Diakon Child,family&community Ministries 1801 Loyalsock Dr Williamsport PA 17701-2829 Ph: (570) 322-7873 |
NPI Number | 1174021836 |
---|---|
Provider Enumeration Date | 01/29/2018 |
Last Update Date | 01/29/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174021836 | NPI | - | NPPES |
102920256-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
News Archive
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