| Diversity Works Csct, Llc | |
|
447 S Prince St Lancaster PA 17603-5657 | |
| (717) 823-9818 | |
| (717) 798-9911 |
| Full Name | Diversity Works Csct, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 447 S Prince St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Latinia Marie Shell (CHIEF EXECUTIVE OFFICER/PRESIDENT) |
| Authorized Official Contact | 7178239818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Works Csct, Llc 447 S Prince St Lancaster PA 17603-5657 Ph: (717) 823-9818 | Diversity Works Csct, Llc 447 S Prince St Lancaster PA 17603-5657 Ph: (717) 823-9818 |
| NPI Number | 1073792768 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073792768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC004444 (Pennsylvania) | Primary |
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