Organization
SPANISH AMERICAN CIVIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS GRAUPERS (PRESIDENT)
(717) 509-3712
Entity
Organization
Contact information
Practice address
445 E KING ST, LANCASTER, PA 17602-3004
(717) 431-0833
Mailing address
545 PERSHING AVE, LANCASTER, PA 17602-4369
(717) 397-6267
(717) 295-7762
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
362450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007776330018
—
PA
Enumeration date
12/27/2007
Last updated
12/27/2007
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