Provider Demographics
NPI:1003035783
Name:DAEMION COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:DAEMION COUNSELING CENTER, INC.
Other - Org Name:DAEMION HOUSE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-647-1431
Mailing Address - Street 1:95 HOWELLVILLE RD
Mailing Address - Street 2:P.O. BOX 77
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-1307
Mailing Address - Country:US
Mailing Address - Phone:610-647-1431
Mailing Address - Fax:610-647-1432
Practice Address - Street 1:95 HOWELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-1307
Practice Address - Country:US
Practice Address - Phone:610-647-1431
Practice Address - Fax:610-647-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable