| Akoma Healing Center, Llc. | |
|
2843 N Front St Ste 204 Harrisburg PA 17110-1268 | |
| (717) 473-9500 | |
| Not Available |
| Full Name | Akoma Healing Center, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2843 N Front St Ste 204, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Susan D Agyeman (OWNER) |
| Authorized Official Contact | 7174739500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akoma Healing Center, Llc. 2316 Midland Rd Harrisburg PA 17104-1446 Ph: (404) 933-0468 | Akoma Healing Center, Llc. 2843 N Front St Ste 204 Harrisburg PA 17110-1268 Ph: (717) 473-9500 |
| NPI Number | 1932735883 |
|---|---|
| Provider Enumeration Date | 03/22/2020 |
| Last Update Date | 03/22/2020 |
| Certification Date | 03/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932735883 | NPI | - | NPPES |
| 1285906891 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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