Provider Demographics
NPI:1902032451
Name:MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY, INC.
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF FRANKLIN COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:A.
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:WUERTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-264-4301
Mailing Address - Street 1:478 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1632
Mailing Address - Country:US
Mailing Address - Phone:717-264-4301
Mailing Address - Fax:717-264-3591
Practice Address - Street 1:478 GRANT ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1632
Practice Address - Country:US
Practice Address - Phone:717-264-4301
Practice Address - Fax:717-264-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health