Provider Demographics
NPI:1275018160
Name:SEXUAL ASSAULT RESOURCE & COUNSELING CENTER OF LEBANON & SCH
Entity Type:Organization
Organization Name:SEXUAL ASSAULT RESOURCE & COUNSELING CENTER OF LEBANON & SCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:MAILEN
Authorized Official - Last Name:PERROTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-270-6972
Mailing Address - Street 1:615 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-5233
Mailing Address - Country:US
Mailing Address - Phone:717-270-6972
Mailing Address - Fax:717-270-6987
Practice Address - Street 1:615 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5233
Practice Address - Country:US
Practice Address - Phone:717-270-6972
Practice Address - Fax:717-270-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty