Organization
DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES
Active
Organization
DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH P WHITE (DIR OF ADM OPS)
(570) 322-7878
Entity
Organization
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
331610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102920256
—
PA
05
—
1029202560001
—
PA
Enumeration date
04/28/2014
Last updated
06/08/2021
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