| Catholic Charities Of The Diocese Of Harrisburg Pa Inc | |
|
1004 New Holland Ave Lancaster PA 17601-5606 | |
| (717) 657-4804 | |
| (717) 657-8683 |
| Full Name | Catholic Charities Of The Diocese Of Harrisburg Pa Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1004 New Holland Ave, Lancaster, 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 Rd Harrisburg PA 17111-3710 Ph: (717) 657-4804 | Catholic Charities Of The Diocese Of Harrisburg Pa Inc 1004 New Holland Ave Lancaster PA 17601-5606 Ph: (717) 657-4804 |
| NPI Number | 1962029884 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962029884 | NPI | - | NPPES |
| 001853906 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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