Provider Demographics
NPI:1174953616
Name:DOHI CENTER FOR WELL-BEING
Entity type:Organization
Organization Name:DOHI CENTER FOR WELL-BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TEST
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:717-473-4980
Mailing Address - Street 1:1663 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1874
Mailing Address - Country:US
Mailing Address - Phone:717-473-4980
Mailing Address - Fax:
Practice Address - Street 1:1663 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1874
Practice Address - Country:US
Practice Address - Phone:717-473-4980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA017077101YA0400X
101YM0800X
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029498800001Medicaid
PA102949880-0002Medicaid