Organization
DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH P WHITE (DIRECTOR OF ADMINISTRATIVE OPS)
(570) 322-7878
Entity
Organization
Contact information
Practice address
1800 W MARKET ST, LEWISBURG, PA 17837-1236
(570) 524-9477
(570) 524-9492
Mailing address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02319100
CAPITAL BLUE CROSS
PA
01
—
301029
VALUEOPTIONS
PA
Enumeration date
04/28/2014
Last updated
01/29/2018
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