Provider Demographics
NPI:1407152614
Name:SAFE HARBOR CHRISTIAN COUNSELING OF LANCASTER
Entity Type:Organization
Organization Name:SAFE HARBOR CHRISTIAN COUNSELING OF LANCASTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NDURA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:717-569-1101
Mailing Address - Street 1:1655 MANHEIM PIKE
Mailing Address - Street 2:SUITE OB2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3061
Mailing Address - Country:US
Mailing Address - Phone:717-569-1101
Mailing Address - Fax:410-569-0094
Practice Address - Street 1:1655 MANHEIM PIKE
Practice Address - Street 2:SUITE OB2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3061
Practice Address - Country:US
Practice Address - Phone:717-569-1101
Practice Address - Fax:410-569-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty