| Diakon Family Life Service | |
|
241 Broad St Montoursville PA 17754-2283 | |
| (570) 433-7060 | |
| (570) 567-7184 |
| Full Name | Diakon Family Life Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 241 Broad St, Montoursville, Pennsylvania |
| Authorized Official Name and Position | Scott D Habecker (EXECUTIVE VICE PRESIDENT/COO/FCO) |
| Authorized Official Contact | 6106821262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diakon Family Life Service 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 | Diakon Family Life Service 241 Broad St Montoursville PA 17754-2283 Ph: (570) 433-7060 |
| NPI Number | 1467821207 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467821207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 331600 (Pennsylvania) | Primary |
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