Organization
EXCENTIA HUMAN SERVICES
Active
Other names
Excentia Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SHAAK (CEO)
(717) 519-6740
Entity
Organization
Contact information
Practice address
1810 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 519-6740
(717) 519-6746
Mailing address
1810 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 519-6740
(717) 519-6746
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CER00075435
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017260108
—
PA
Enumeration date
05/20/2016
Last updated
08/02/2023
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