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2170 Noll Dr Lancaster PA 17603-7609 | |
| (717) 435-1000 | |
| (717) 435-1010 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2170 Noll Dr, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Donald Mckenna (PRESIDENT) |
| Authorized Official Contact | 7175313979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 University Dr Hershey PA 17033-2360 Ph: (800) 243-1455 | 2170 Noll Dr Lancaster PA 17603-7609 Ph: (717) 435-1000 |
| NPI Number | 1770824617 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770824617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 327730 (Pennsylvania) | Primary |
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