| Diakon Family Life Services | |
|
520 W 4th St Williamsport PA 17701-6038 | |
| (717) 795-0368 | |
| (717) 795-0353 |
| Full Name | Diakon Family Life Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 W 4th St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Scott D Habecker (EXEC VP COO CFO) |
| Authorized Official Contact | 7177950384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diakon Family Life Services 1022 N Union St Middletown PA 17057-2158 Ph: (717) 795-0384 | Diakon Family Life Services 520 W 4th St Williamsport PA 17701-6038 Ph: (717) 795-0368 |
| NPI Number | 1588017602 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588017602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 331610 (Pennsylvania) | Primary |
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