Organization
IMELA HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANNE CONKLIN LCSW (CLINICAL SOCIAL WORKER)
(814) 574-5606
Entity
Organization
Contact information
Practice address
104 NORTH ST, MILLHEIM, PA 16854-9622
(814) 574-5606
Mailing address
PO BOX 141, COBURN, PA 16832-0141
(814) 574-5606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
10/26/2023
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