| Catholic Charities Of The Diocese Of Harrisburg, Pa Inc | |
|
120 Willow Rd Ste B Harrisburg PA 17109-2602 | |
| (717) 657-4804 | |
| (717) 657-8683 |
| Full Name | Catholic Charities Of The Diocese Of Harrisburg, Pa Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Willow Rd Ste B, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Kelly Gollick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7176574804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Harrisburg, Pa Inc 4800 Union Deposit Road Harrisburg PA 17111-3551 Ph: (717) 657-4804 | Catholic Charities Of The Diocese Of Harrisburg, Pa Inc 120 Willow Rd Ste B Harrisburg PA 17109-2602 Ph: (717) 657-4804 |
| NPI Number | 1447301247 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447301247 | NPI | - | NPPES |
| 01853906 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 227076 (Pennsylvania) | Primary |
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