| Diakon Family Life Of The Capital Region Spin | |
|
960 Century Dr Mechanicsburg PA 17055-4530 | |
| (717) 795-0330 | |
| Not Available |
| Full Name | Diakon Family Life Of The Capital Region Spin |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 960 Century Dr, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Deborah White (DIRECTOR OF ADM OPS) |
| Authorized Official Contact | 7177950330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diakon Family Life Of The Capital Region Spin 960 Century Dr Mechanicsburg PA 17055-4374 Ph: (717) 795-0330 | Diakon Family Life Of The Capital Region Spin 960 Century Dr Mechanicsburg PA 17055-4530 Ph: (717) 795-0330 |
| NPI Number | 1962818930 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962818930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 331620 (Pennsylvania) | Primary |
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