Diakon Family Life Services | |
435 W 4th St Williamsport PA 17701-6001 | |
(570) 322-7873 | |
(570) 322-8026 |
Full Name | Diakon Family Life Services |
---|---|
Speciality | Community/behavioral Health |
Location | 435 W 4th St, Williamsport, Pennsylvania |
Authorized Official Name and Position | Rita Rousseau (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7177950300 |
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 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 |
NPI Number | 1669633806 |
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Provider Enumeration Date | 06/20/2008 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669633806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 325810 (Pennsylvania) | Primary |
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