Diakon Family Life Services | |
960 Century Dr Mechanicsburg PA 17055-4374 | |
(717) 795-0330 | |
(717) 795-0407 |
Full Name | Diakon Family Life Services |
---|---|
Speciality | Community/behavioral Health |
Location | 960 Century Dr, Mechanicsburg, Pennsylvania |
Authorized Official Name and Position | Rita A. Rousseau (EXECUTIVE DIRECTOR OF COS) |
Authorized Official Contact | 7177950330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diakon Family Life Services 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 | Diakon Family Life Services 960 Century Dr Mechanicsburg PA 17055-4374 Ph: (717) 795-0330 |
NPI Number | 1134158132 |
---|---|
Provider Enumeration Date | 07/02/2006 |
Last Update Date | 11/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134158132 | NPI | - | NPPES |
02319100 | Other | PA | CAPITAL BLUE CROSS |
1443618 | Other | PA | PA BLUE SHIELD - PSYCHOLO |
1007777400005 | Medicaid | PA | |
716009 | Other | PW | PA BLUE SHIELD - MD/DO |
301029 | Other | PA | VALUEOPTIONS |
1526223 | Other | PA | PA BLUE SHIELD - CRNP |
1808012 | Other | PA | PA BLUE SHIELD FEP - LCSW |
1007777400042 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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