Organization
WINNER'S CIRCLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE V BLACK LPC, LPCMH (DIRECT OWNER)
(484) 643-9568
Entity
Organization
Contact information
Practice address
2256 NEW DANVILLE PIKE, LANCASTER, PA 17603-9666
(484) 643-9568
Mailing address
2256 NEW DANVILLE PIKE, LANCASTER, PA 17603-9666
(484) 643-9568
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
PC-0000593
DE
261QM0850X
Adult Mental Health Clinic/Center
PC005941
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PC-0000593
DE
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PC005941
PA
Other
Enumeration date
08/12/2012
Last updated
08/22/2016
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