Organization
MISSION NEW LIFE
Active
Other names
Thirty-Nine West Vine
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY HAACK LMFT, LPC, CACD (PRESIDENT)
(717) 329-4178
Entity
Organization
Contact information
Practice address
39 W VINE ST, LANCASTER, PA 17603-3946
(717) 394-5496
(717) 533-6071
Mailing address
203 CRESCENT DR, HERSHEY, PA 17033-2335
(717) 329-4178
(717) 533-6071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
367079
PA
Other
Enumeration date
10/26/2007
Last updated
11/23/2007
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