| Excentia Human Services | |
|
1810 Rohrerstown Rd Lancaster PA 17601-2322 | |
| (717) 519-6740 | |
| (717) 519-6746 |
| Full Name | Excentia Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1810 Rohrerstown Rd, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Christopher Shaak (CEO) |
| Authorized Official Contact | 7175196740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excentia Human Services 1810 Rohrerstown Rd Lancaster PA 17601-2322 Ph: (717) 519-6740 | Excentia Human Services 1810 Rohrerstown Rd Lancaster PA 17601-2322 Ph: (717) 519-6740 |
| NPI Number | 1801243712 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801243712 | NPI | - | NPPES |
| 1000017260108 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CER00075435 (Pennsylvania) | Primary |
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