Organization
S. JUNE SMITH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E. HARRISON (EXECUTIVE DIRECTOR)
(717) 299-4829
Entity
Organization
Contact information
Practice address
600 EDEN ROAD, BUILDING I, LANCASTER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Mailing address
600 EDEN ROAD, BUILDING I, LANCASTER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000016000003
PA PROMISE
PA
Enumeration date
03/01/2007
Last updated
08/22/2020
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