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Organization
THE BODHANA GROUP INCORPORATED
Active
Organization
THE BODHANA GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK EDWARD BERKENSTOCK JR. MHS (EXECUTIVE DIRECTOR)
(717) 615-5803
Entity
Organization
Contact information
Practice address
237 N PRINCE ST, SUITE 301, LANCASTER, PA 17603-4062
(717) 224-1273
Mailing address
448 N STATE ST, EPHRATA, PA 17522-2102
(717) 615-5803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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