Organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Active
Parent organization
DIAKON LUTHERAN SOCIAL MINISTRIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAKON LUTHERAN SOCIAL MINISTRIES
Authorized official
RITA ROUSSEAU (EXECUTIVE DIRECTOR)
(717) 795-0330
Entity
Organization
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0330
Mailing address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777400061
—
PA
Enumeration date
05/12/2008
Last updated
05/12/2008
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