| Raices Pastoral Counseling And Human Development Center, Inc | |
|
512 Hamilton St Ste 200 Allentown PA 18101-1505 | |
| (267) 253-6588 | |
| (484) 221-9440 |
| Full Name | Raices Pastoral Counseling And Human Development Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 512 Hamilton St Ste 200, Allentown, Pennsylvania |
| Authorized Official Name and Position | Erik Edgardo Juarez Mendez (CEO) |
| Authorized Official Contact | 2672536588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raices Pastoral Counseling And Human Development Center, Inc 512 Hamilton St Ste 200 Allentown PA 18101-1505 Ph: (267) 253-6588 | Raices Pastoral Counseling And Human Development Center, Inc 512 Hamilton St Ste 200 Allentown PA 18101-1505 Ph: (267) 253-6588 |
| NPI Number | 1720429608 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720429608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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