| New Direction Wellness Center Functional Psychiatry Llc | |
|
1661 Old Philadelphia Pike Unit C Lancaster PA 17602-2676 | |
| (814) 810-8626 | |
| Not Available |
| Full Name | New Direction Wellness Center Functional Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1661 Old Philadelphia Pike Unit C, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Sarah Nduta Mbogo Gatumu (OWNER) |
| Authorized Official Contact | 7245995901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Direction Wellness Center Functional Psychiatry Llc 1661 Old Philadelphia Pike Unit C Lancaster PA 17602-2676 Ph: (814) 810-8626 | New Direction Wellness Center Functional Psychiatry Llc 1661 Old Philadelphia Pike Unit C Lancaster PA 17602-2676 Ph: (814) 810-8626 |
| NPI Number | 1619672821 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 1456710763 |
|---|---|
| Medicare Enrollment ID | O20230705002313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619672821 | NPI | - | NPPES |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20070206000197 |
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