# DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIAKON LUTHERAN SOCIAL MINISTRIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700384476
- **Legal business name:** DIAKON LUTHERAN SOCIAL MINISTRIES
- **Authorized official:** DEBORAH P WHITE (DIRECTOR OF ADMINISTRATIVE OPS)
- **Authorized official phone:** (570) 322-7878

## Contact information

- **Practice address:** 1500 CHERRY ST, WILLIAMSPORT, PA 17701-2169
- **Practice address phone:** (570) 322-7873
- **Practice address fax:** (570) 322-8026
- **Mailing address:** 435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
- **Mailing address phone:** (570) 322-7873
- **Mailing address fax:** (570) 322-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 33160-0 | PA | Yes |

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 01/29/2018