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Organization

AKOMA HEALING CENTER, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN D AGYEMAN LPC (OWNER)
(717) 473-9500
Entity
Organization

Contact information

Practice address
2843 N FRONT ST STE 204, HARRISBURG, PA 17110-1268
(717) 473-9500
Mailing address
2316 MIDLAND RD, HARRISBURG, PA 17104-1446
(404) 933-0468

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285906891
VA
Enumeration date
03/22/2020
Last updated
03/22/2020
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