| Supports Coordination Group, Llc | |
|
107 E Locust St Ephrata PA 17522-2717 | |
| (844) 952-7296 | |
| Not Available |
| Full Name | Supports Coordination Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 107 E Locust St, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Emily Kramer (D&A PROJECT MANAGER) |
| Authorized Official Contact | 7173149514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supports Coordination Group, Llc 107 E Locust St Ephrata PA 17522-2717 Ph: (717) 314-9514 | Supports Coordination Group, Llc 107 E Locust St Ephrata PA 17522-2717 Ph: (844) 952-7296 |
| NPI Number | 1649849043 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649849043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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