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Organization

DIAKON CHILD FAMILY AND COMMUNITY MINISTRIES

Active
Other names
Diakon Behavioral Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
SHARI VANDERGAST (CEO)
(610) 209-8280
Entity
Organization

Contact information

Practice address
5000 RITTER ROAD, SUITE 101, MECHANICSBURG, PA 17055-6922
(717) 795-0330
(717) 795-0407
Mailing address
5000 RITTER ROAD, SUITE 101, MECHANICSBURG, PA 17055-6922
(717) 795-0330
(717) 795-0407

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
05
1029202560002
PA
01
1443618
PA BLUE SHIELD - PSYCHOLO
PA
01
1526223
PA BLUE SHIELD - CRNP
PA
01
1808012
PA BLUE SHIELD FEP - LCSW
PA
01
301029
VALUEOPTIONS
PA
01
716009
PA BLUE SHIELD - MD/DO
PA
Enumeration date
04/29/2014
Last updated
08/11/2025
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