| Organization Name: | DIAKON LUTHERAN SOCIAL MINISTRIES |
| NPI Number: | 1407892615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA A. ROUSSEAU (EXECUTIVE DIRECTOR COS) |
| Mailing Address: | 1600 Fowler Ave Berwick |
| State: | PA US |
| Postal Code: | 186031423 |
| Phone Number: | 5703227873 |
| Fax Number: | 5703228026 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 356240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |