Organization
ITS A PLAYFUL JOURNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE MATHIAS MHS, LPC, RPT-S (CHILD, ADOLESCENT, FAMILY THERAPIST)
(717) 431-2027
Entity
Organization
Contact information
Practice address
2173 EMBASSY DR, SUITE 255, LANCASTER, PA 17603-2387
(717) 431-2027
(717) 431-2014
Mailing address
2173 EMBASSY DR, SUITE 255, LANCASTER, PA 17603-2387
(717) 431-2027
(717) 431-2014
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740305218
HEALTH ASSURANCE
PA
Enumeration date
11/27/2009
Last updated
11/27/2009
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